Ardoin Crescent Drug Store

LBN: Ardoin Crescent Drug Store
Ardoin Crescent Drug Store is an health care organization with primary practice located at 254 N Main St , Jennings LA 70546-5848. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Ardoin Crescent Drug Store can be contacted via phone (337) 824-4534, or through Ardoin, Amos via phone (337) 824-4534.

Contact Information

Primary practice address
254 N Main St Jennings LA 70546-5848
Phone: (337) 824-4534
Fax: (337) 824-1307
Website:
Map and Directions
Authorized official contact:
Name: Ardoin, Amos
Phone: (337) 824-4534

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2236IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609963891
LBN Legal business name Ardoin Crescent Drug Store
DBA Doing business as
Authorized official Ardoin, Amos
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 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 1609963891 NPPES
Louisiana MEDICAID 1258504
Louisiana Other 1906316

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