Green Clinic Pharmacy

LBN: Green Clinic Llc
Green Clinic Pharmacy is an health care organization with primary practice located at 1200 S Farmerville St , Ruston LA 71270-5941. 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. Green Clinic Llc can be contacted via phone (318) 251-6337, or through Crowe, Mary via phone (318) 251-6337.

Contact Information

Primary practice address
1200 S Farmerville St Ruston LA 71270-5941
Phone: (318) 251-6337
Fax: (318) 251-6334
Website:
Map and Directions
Authorized official contact:
Name: Crowe, Mary RPH
Phone: (318) 251-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.005703-IR Louisiana

Profile Details

NPI number 1275632036
LBN Legal business name Green Clinic Llc
DBA Doing business as Green Clinic Pharmacy
Authorized official Crowe, Mary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 19th, 2018 - about 7 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 1275632036 NPPES
Louisiana MEDICAID 1234532
Louisiana Other 2035421

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