Axum Pharmacy

LBN: Axum Medical Supplies Llc.
Axum Pharmacy is an health care organization with primary practice located at 721 W 5Th St , La Place LA 70068-5504. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Axum Medical Supplies Llc. can be contacted via phone (985) 359-5251, or through Murphy, Mark via phone (504) 390-2564.

Contact Information

Primary practice address
721 W 5Th St La Place LA 70068-5504
Phone: (985) 359-5251
Fax: (985) 359-5252
Website:
Map and Directions
Authorized official contact:
Name: Murphy, Mark
Phone: (504) 390-2564

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY007408IR Louisiana

Profile Details

NPI number 1881146975
LBN Legal business name Axum Medical Supplies Llc.
DBA Doing business as Axum Pharmacy
Authorized official Murphy, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Jul 19th, 2018 - about 6 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 1881146975 NPPES
Louisiana MEDICAID 2205285
Louisiana Other 2165794

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