Pauls Pharmacy

LBN: Pf Spam Llc
Pauls Pharmacy is an health care organization with primary practice located at 345 W Railroad Ave , Independence LA 70443-2292. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pf Spam Llc can be contacted via phone (985) 878-4401, or through Gagneaux, Amber Michelle via phone (985) 878-4401.

Contact Information

Primary practice address
345 W Railroad Ave Independence LA 70443-2292
Fax: (985) 878-3657
Website:
Authorized official contact:
Name: Gagneaux, Amber Michelle

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.000204-IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114000296
LBN Legal business name Pf Spam Llc
DBA Doing business as Pauls Pharmacy
Authorized official Gagneaux, Amber Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 19th, 2022 - about 2 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 1114000296 NPPES
Other 2030880 PK
MEDICAID 1233161 PK

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