Organization
CANAL STREET PHARMACY LLC
Active
Other names
Canal Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
2525 CANAL STREET, NEW ORLEANS, LA 70119
(504) 323-6523
(504) 323-6524
Mailing address
2525 CANAL STREET, NEW ORLEANS, LA 70119
(504) 323-6523
(504) 323-6524
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY.007249-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157569
PK
—
05
—
2201662
—
LA
Enumeration date
01/19/2016
Last updated
09/11/2020
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