# S MART ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FASULLO DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841304821
- **Authorized official:** LINDA BERGERON (STORE MANAGER)
- **Authorized official phone:** (504) 347-5458

## Contact information

- **Practice address:** 905 WESTBANK EXPY, WESTWEGO, LA 70094-4652
- **Practice address phone:** (504) 347-5458
- **Practice address fax:** (504) 347-5449
- **Mailing address:** PO BOX 427, WESTWEGO, LA 70096-0427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 002368IR | LA | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 03/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1259349 | — | LA |
| 01 | — | 1923879 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |