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Contact Information

ALFONSO PHARMACY LLC
1203 ROBERT BLVD
SLIDELL, LA70458-2015
 Phone: 985-445-1179
 Fax: 985-445-1279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALFONSO PHARMACY LLC

NPI Number 1306341110
LBN Legal business name ALFONSO PHARMACY LLC
Authorized official BRADLEY ALFONSO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2018
Last updated 06/21/2022 - About 4 years ago
Identifiers
LA Medicaid 2205781
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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