Organization
HIGHGATE APOTHECARY-101 LLC
Active
Other names
Highgate Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCELFO RPH (PHARMACIST IN CHARGE/AO)
(985) 400-2428
Entity
Organization
Contact information
Practice address
141 LAKEVIEW CIR, COVINGTON, LA 70433-7513
(985) 400-2428
(985) 400-2427
Mailing address
141 LAKEVIEW CIR, COVINGTON, LA 70433-7513
(985) 400-2428
(985) 400-2427
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
007507
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170365
PK
—
05
—
2205366
—
LA
Enumeration date
06/13/2017
Last updated
07/19/2018
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