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Contact Information

ICARE JOHNSTON STREET
2039 JOHNSTON STREET
LAFAYETTE, LA70503
 Phone: 337-233-4782
 Fax: 337-233-4783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ICARE JOHNSTON STREET

NPI Number 1912326968
LBN Legal business name ICARE JOHNSTON STREET
Authorized official ANNA ANDREPONT - (MANAGING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2014
Last updated 08/01/2014 - About 12 years ago
Identifiers n/a
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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