# INNIS COMMUNITY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INNIS COMMUNITY HEALTH CENTER, INC
- **Other names:** Arbor Family Pharmacy - Maringouin
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104720069
- **Legal business name:** INNIS COMMUNITY HEALTH CENTER, INC
- **Authorized official:** TOMI LEONARD (CFO)
- **Authorized official phone:** (225) 618-7132

## Contact information

- **Practice address:** 77575 LANDRY DR, MARINGOUIN, LA 70757-3210
- **Practice address phone:** (225) 618-5015
- **Practice address fax:** (225) 442-3107
- **Mailing address:** 1620 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-3219
- **Mailing address phone:** (817) 572-0009
- **Mailing address fax:** (817) 720-1039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026