Northlake Pharmacy

LBN: Northlake Pharmacy Inc
Northlake Pharmacy is an health care organization with primary practice located at 7047 Highway 190 East Service Rd East Service Road, Covington LA 70433-4955. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Northlake Pharmacy Inc can be contacted via phone (985) 327-0594, or through Chamberlain, Michael via phone (985) 327-0594.

Contact Information

Primary practice address
7047 Highway 190 East Service Rd East Service Road Covington LA 70433-4955
Fax: (985) 327-0597
Website:
Authorized official contact:
Name: Chamberlain, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY006184IR Louisiana
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1588896245
LBN Legal business name Northlake Pharmacy Inc
DBA Doing business as Northlake Pharmacy
Authorized official Chamberlain, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2009
Last updated Feb 10th, 2011 - about 13 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 1588896245 NPPES
Other 1934682 NCPDP PROVIDER IDENTIFICATION NUMBER

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