Broussards Pharmacy
LBN: Broussards Pharmacy Of New Iberia Inc
Broussards Pharmacy is an health care organization with primary practice located at 600 W Saint Peter St , New Iberia LA 70560-3633. 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.
Broussards Pharmacy Of New Iberia Inc can be contacted via phone (337) 364-2381, or through Stelly, Nelson via phone (337) 364-2381.
Contact Information
Primary practice address
600 W Saint Peter St
New Iberia LA 70560-3633
Phone: (337) 364-2381
Fax: (337) 364-2386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY005308-IR | Louisiana |
Profile Details
| NPI number | 1376622043 |
|---|---|
| LBN Legal business name | Broussards Pharmacy Of New Iberia Inc |
| DBA Doing business as | Broussards Pharmacy |
| Authorized official | Stelly, Nelson RPHRM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Aug 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376622043 | NPPES |
| Other | 1903170 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1271756 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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