Broad Avenue Pharmacy Llc in New Orleans - Pharmacist
Broad Avenue Pharmacy Llc - NPI 1396879003
Broad Avenue Pharmacy Llc is a Pharmacist in New Orleans, Louisiana. Broad Avenue Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Broad Avenue Pharmacy Llc is 1396879003. The last update date is 2020-08-22.
Broad Avenue Pharmacy Llc's current location address is 1400 North Broad Avenue, New Orleans, Louisiana. You can contact this provider via phone number 5043094388 and fax number 5043094389. The mailing address for Broad Avenue Pharmacy Llc is 1400 North Broad Avenue, New Orleans, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broad Avenue Pharmacy Llc |
|---|---|
| Address | 1400 North Broad Avenue, New Orleans, Louisiana |
| Phone Number | 5043094388 |
| Fax Number | 5043094389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE-PRESI |
|---|---|
| Authorized Official Name | Quach Kim Phat |
| Telephone Number | 5042314796 |
NPI Number Detail
| NPI Number | 1396879003 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1400 North Broad Avenue |
|---|---|
| City | New Orleans |
| State | Louisiana (LA) |
| Post Code | 70119 |
| Phone Number | 5043094388 |
| Fax Number | 5043094389 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5757 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Broad Avenue Pharmacy Llc's unique identification number?
The Broad Avenue Pharmacy Llc has been assigned the NPI (National Provider Identifier) Number 1396879003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Broad Avenue Pharmacy Llc?
The Broad Avenue Pharmacy Llc is physically situated at 1400 North Broad Avenue, in the city of New Orleans, state of LA, with the postal code 70119.
What is the Broad Avenue Pharmacy Llc's specialty and taxonomy code?
The Broad Avenue Pharmacy Llc's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1396879003 assigned to Broad Avenue Pharmacy Llc?
The Broad Avenue Pharmacy Llc was issued its 1396879003 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Broad Avenue Pharmacy Llc most recently updated or revised?
The information pertaining to Broad Avenue Pharmacy Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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