Kelly Pharmacy
LBN: Kelly Pharmacy Inc Kelly Pharmacy & Gifts
Kelly Pharmacy is an health care organization with primary practice located at 302 E Palmetto , Plain Dealing LA 71064. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kelly Pharmacy Inc Kelly Pharmacy & Gifts can be contacted via phone (318) 326-4229, or through Boggs, Patrick via phone (318) 326-4229.
Contact Information
Primary practice address
302 E Palmetto
Plain Dealing LA 71064
Phone: (318) 326-4229
Fax: (318) 326-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY.002188-IR | Louisiana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1760576011 |
|---|---|
| LBN Legal business name | Kelly Pharmacy Inc Kelly Pharmacy & Gifts |
| DBA Doing business as | Kelly Pharmacy |
| Authorized official | Boggs, Patrick RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1760576011 | NPPES |
| Louisiana | MEDICAID | 1258105 | |
| Louisiana | Other | 2029118 | |
| Louisiana | MEDICAID | 121851407 |
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