Abita Pharmacy Inc

LBN: Abita Pharmacy Inc
Abita Pharmacy Inc is an health care organization with primary practice located at 22107 Highway 36 # B , Abita Springs LA 70420-3949. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Abita Pharmacy Inc can be contacted via phone (985) 875-9906, or through Chamberlain, Michael Roger via phone (985) 875-9906.

Contact Information

Primary practice address
22107 Highway 36 # B Abita Springs LA 70420-3949
Phone: (985) 875-9906
Fax: (985) 875-9926
Website:
Map and Directions
Authorized official contact:
Name: Chamberlain, Michael Roger
Phone: (985) 875-9906

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X C004842-IR Louisiana

Profile Details

NPI number 1023199684
LBN Legal business name Abita Pharmacy Inc
DBA Doing business as
Authorized official Chamberlain, Michael Roger
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1023199684 NPPES
Louisiana MEDICAID 1269417

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