Community Pharmacy Llc

LBN: Community Pharmacy Llc
Community Pharmacy Llc is an health care organization with primary practice located at 2904 Forsythe Ave , Monroe LA 71201-3610. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Community Pharmacy Llc can be contacted via phone (318) 398-2100, or through Klitzke, William Kyle via phone (318) 398-2100.

Contact Information

Primary practice address
2904 Forsythe Ave Monroe LA 71201-3610
Phone: (318) 398-2100
Fax: (318) 387-7682
Website:
Map and Directions
Authorized official contact:
Name: Klitzke, William Kyle
Phone: (318) 398-2100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.006459-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1679857304
LBN Legal business name Community Pharmacy Llc
DBA Doing business as
Authorized official Klitzke, William Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2011
Last updated May 25th, 2023 - about last year

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 1679857304 NPPES
Louisiana MEDICAID 2201174

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