Alfonso Pharmacy Llc

LBN: Alfonso Pharmacy Llc
Alfonso Pharmacy Llc is an health care organization with primary practice located at 1203 Robert Blvd , Slidell LA 70458-2015. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Alfonso Pharmacy Llc can be contacted via phone (985) 445-1179, or through Alfonso, Bradley via phone (504) 905-5041.

Contact Information

Primary practice address
1203 Robert Blvd Slidell LA 70458-2015
Phone: (985) 445-1179
Fax: (985) 445-1279
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Bradley PHARM D
Phone: (504) 905-5041

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306341110
LBN Legal business name Alfonso Pharmacy Llc
DBA Doing business as
Authorized official Alfonso, Bradley PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Jun 21st, 2022 - about 2 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 1306341110 NPPES
Louisiana MEDICAID 2205781

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