Organization
ASPEN PHARMACY
Active
Other names
ASPEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HAMIDE PHARMD (MANAGER)
(504) 734-0333
Entity
Organization
Contact information
Practice address
5745 PLAUCHE CT, HARAHAN, LA 70123-4119
(504) 734-0333
(504) 733-0559
Mailing address
5745 PLAUCHE CT, HARAHAN, LA 70123-4119
(504) 734-0333
(504) 733-0559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5335IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035233
PK
—
Enumeration date
03/08/2007
Last updated
12/30/2014
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