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Contact Information

PAINCOURTVILLE PHARMACY INC.
112 HWY 403
PAINCOURTVILLE, LA70391
 Phone: 985-369-3578
 Fax: 985-369-3579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for PAINCOURTVILLE PHARMACY INC.

NPI Number 1124125679
LBN Legal business name PAINCOURTVILLE PHARMACY INC.
Authorized official DAVID SAGONA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
LA License # 17136
LA Medicaid 1234125
LA Other 1915202 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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