Main Street Pharmacy

LBN: Main Street Pharmacy
Main Street Pharmacy is an health care organization with primary practice located at 5500 Fire Station Rd Ste A , Zachary LA 70791-7468. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Main Street Pharmacy can be contacted via phone (225) 451-5804, or through Bryce, James Witschen via phone (225) 451-5804.

Contact Information

Primary practice address
5500 Fire Station Rd Ste A Zachary LA 70791-7468
Phone: (225) 451-5804
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bryce, James Witschen RPH
Phone: (225) 451-5804

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1225800733
LBN Legal business name Main Street Pharmacy
DBA Doing business as
Authorized official Bryce, James Witschen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2023
Last updated Oct 27th, 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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