Stevens Pharmacy

LBN: Stevens Pharmacy Inc
Stevens Pharmacy is an health care organization with primary practice located at 520 S Alexander Ave Ste 200, Port Allen LA 70767-3100. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stevens Pharmacy Inc can be contacted via phone (225) 336-4456, or through Gough, Steven via phone (225) 336-4456.

Contact Information

Primary practice address
520 S Alexander Ave Ste 200 Port Allen LA 70767-3100
Phone: (225) 336-4456
Fax: (225) 336-4458
Website:
Map and Directions
Authorized official contact:
Name: Gough, Steven
Phone: (225) 336-4456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY004535IR Louisiana

Profile Details

NPI number 1295890622
LBN Legal business name Stevens Pharmacy Inc
DBA Doing business as Stevens Pharmacy
Authorized official Gough, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 16th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295890622 NPPES
Louisiana MEDICAID 1268194
Louisiana Other 2034893

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