Pontchartrain Pharmacy, Llc

LBN: Pontchartrain Pharmacy, Llc
Pontchartrain Pharmacy, Llc is an health care organization with primary practice located at 2045 Highway 59 , Mandeville LA 70448-1909. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Pontchartrain Pharmacy, Llc can be contacted via phone (985) 626-9726, or through Leach, Mary Lynn via phone (985) 626-1900.

Contact Information

Primary practice address
2045 Highway 59 Mandeville LA 70448-1909
Phone: (985) 626-9726
Fax: (985) 626-7919
Website:
Map and Directions
Authorized official contact:
Name: Leach, Mary Lynn CPA
Phone: (985) 626-1900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 1270-IR Louisiana

Profile Details

NPI number 1134116742
LBN Legal business name Pontchartrain Pharmacy, Llc
DBA Doing business as
Authorized official Leach, Mary Lynn CPA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 16th, 2021 - about 4 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 1134116742 NPPES
Louisiana MEDICAID 1234460

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