Organization
FAMILY PHARMACY SERVICE, INC
Active
Organization
FAMILY PHARMACY SERVICE, INC
Active
Other names
First Option Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G KINGSTON P.D. (SR VICE PRESIDENT, COO)
(337) 234-1292
Entity
Organization
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-6962
(337) 234-1292
(337) 234-1326
Mailing address
4906 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-6962
(337) 234-1292
(337) 234-1326
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
2419
LA
332B00000X
Durable Medical Equipment & Medical Supplies
2419
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259845
—
LA
01
—
35488
BLUE CROSS PROVIDER NUMBE
LA
01
—
G8720
BLUE CROSS DME
LA
Enumeration date
10/26/2006
Last updated
06/27/2008
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