Pontchartrain Pharmacy, Llc in Mandeville - Long Term Care Pharmacy
Pontchartrain Pharmacy, Llc - NPI 1134116742
Pontchartrain Pharmacy, Llc is a Long Term Care Pharmacy in Mandeville, Louisiana. Pontchartrain Pharmacy, Llc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Pontchartrain Pharmacy, Llc is 1134116742. The last update date is 2021-03-16.
Pontchartrain Pharmacy, Llc's current location address is Po Box 399, Mandeville, Louisiana. You can contact this provider via phone number 9856269726 and fax number 9856267919. The mailing address for Pontchartrain Pharmacy, Llc is Po Box 399, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pontchartrain Pharmacy, Llc |
|---|---|
| Address | Po Box 399, Mandeville, Louisiana |
| Phone Number | 9856269726 |
| Fax Number | 9856267919 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Leach Mary Lynn |
| Credentials | CPA |
| Telephone Number | 9856261900 |
NPI Number Detail
| NPI Number | 1134116742 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2021-03-16 |
Provider Mailing Address Detail
| Address | Po Box 399 |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704700399 |
| Phone Number | 9856269726 |
| Fax Number | 9856267919 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 1270-IR |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1234460 | LA | -- |
Post Comment/ Review Below
What is the Pontchartrain Pharmacy, Llc's 1134116742?
The Pontchartrain Pharmacy, Llc's NPI (National Provider Identifier) Number is 1134116742. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pontchartrain Pharmacy, Llc?
The Pontchartrain Pharmacy, Llc is physically situated at Po Box 399, in the city of Mandeville, state of LA, with the postal code 704700399.
What is Pontchartrain Pharmacy, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pontchartrain Pharmacy, Llc's specialized field of practice is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336L0003X.
On what date did the Pontchartrain Pharmacy, Llc receive its 1134116742 assignment from the Centers for Medicare & Medicaid Services?
The Pontchartrain Pharmacy, Llc was assigned its 1134116742 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the Pontchartrain Pharmacy, Llc's information last updated?
The Pontchartrain Pharmacy, Llc's information was last updated on 2021-03-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1992708176
Address: Po Box 3807, Grand Junction, CO
NPI Number: 1134122377
Address: 1437 S. Belcher Road, Clearwater, FL
NPI Number: 1942203914
Address: 750 Broadway Ave E, Mattoon, IL
NPI Number: 1922001981
Address: 610 E Grant Ave, Greensburg, KS
NPI Number: 1326040692
Address: Po Box 11818, Fort Smith, AR