Kentwood Family Pharmacy Llc

LBN: Kentwood Family Pharmacy Llc
Kentwood Family Pharmacy Llc is an health care organization with primary practice located at 706 Avenue G , Kentwood LA 70444-2602. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kentwood Family Pharmacy Llc can be contacted via phone (985) 614-5059, or through Driscoll, Lindsey via phone (504) 952-0670.

Contact Information

Primary practice address
706 Avenue G Kentwood LA 70444-2602
Fax: (985) 614-8619
Website:
Authorized official contact:
Name: Driscoll, Lindsey

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609599919
LBN Legal business name Kentwood Family Pharmacy Llc
DBA Doing business as
Authorized official Driscoll, Lindsey
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2022
Last updated Jan 30th, 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 1609599919 NPPES
Louisiana MEDICAID PENDING

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