Louisiana Specialty Pharmacy

LBN: Louisiana Specialty Pharmacy Inc
Louisiana Specialty Pharmacy is an health care organization with primary practice located at 600 Johnston St Ste B , Lafayette LA 70501-8060. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Louisiana Specialty Pharmacy Inc can be contacted via phone (337) 235-7622, or through David, Wesley via phone (337) 235-7622.

Contact Information

Primary practice address
600 Johnston St Ste B Lafayette LA 70501-8060
Fax: (337) 484-3504
Website:
Authorized official contact:
Name: David, Wesley

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X PHY007142IR Louisiana

Profile Details

NPI number 1780068155
LBN Legal business name Louisiana Specialty Pharmacy Inc
DBA Doing business as Louisiana Specialty Pharmacy
Authorized official David, Wesley
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Dec 22nd, 2015 - about 9 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 1780068155 NPPES
Other 2151618 PK
MEDICAID 2203843 PK

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