Icare Pharmacy - Johnston St, Llc
LBN: Icare Pharmacy - Johnston Street Llc
Icare Pharmacy - Johnston St, Llc is an health care organization with primary practice located at 2039 Johnston St , Lafayette LA 70503-2784. 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.
Icare Pharmacy - Johnston Street Llc can be contacted via phone (337) 233-4782, or through Michaud, Cleveland via phone (337) 233-4782.
Contact Information
Primary practice address
2039 Johnston St
Lafayette LA 70503-2784
Phone: (337) 233-4782
Fax: (337) 233-4783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY006927IR | Louisiana |
Profile Details
| NPI number | 1073625927 |
|---|---|
| LBN Legal business name | Icare Pharmacy - Johnston Street Llc |
| DBA Doing business as | Icare Pharmacy - Johnston St, Llc |
| Authorized official | Michaud, Cleveland |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073625927 | NPPES |
| Louisiana | MEDICAID | 2202972 | |
| Louisiana | Other | 2147225 |
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