Northside Pharmacy

LBN: Northside Pharmacy Llc
Northside Pharmacy is an health care organization with primary practice located at 2930 Moss St Ste A, Lafayette LA 70501-1274. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Northside Pharmacy Llc can be contacted via phone (337) 232-2666, or through Courville, Nolan via phone (337) 232-2666.

Contact Information

Primary practice address
2930 Moss St Ste A Lafayette LA 70501-1274
Phone: (337) 232-2666
Fax: (337) 233-5978
Website:
Map and Directions
Authorized official contact:
Name: Courville, Nolan
Phone: (337) 232-2666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY004593IR Louisiana

Profile Details

NPI number 1184778532
LBN Legal business name Northside Pharmacy Llc
DBA Doing business as Northside Pharmacy
Authorized official Courville, Nolan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 15th, 2017 - about 7 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 1184778532 NPPES
Other 2028323 PK
MEDICAID 1268496 PK

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