Petes Family Pharmacy Llc

LBN: Petes Family Pharmacy Llc
Petes Family Pharmacy Llc is an health care organization with primary practice located at 539 W Railroad Ave , Independence LA 70443. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Petes Family Pharmacy Llc can be contacted via phone (985) 878-6321, or through Antoon, Dana via phone (985) 514-3173.

Contact Information

Primary practice address
539 W Railroad Ave Independence LA 70443
Phone: (985) 878-6321
Fax: (985) 878-4613
Website:
Map and Directions
Authorized official contact:
Name: Antoon, Dana
Phone: (985) 514-3173

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245822436
LBN Legal business name Petes Family Pharmacy Llc
DBA Doing business as
Authorized official Antoon, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2021
Last updated May 26th, 2021 - about 3 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 1245822436 NPPES
Louisiana MEDICAID 2208365

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