Organization
CITY PHARMACY AND HOME MEDICAL LLC
Active
Other names
CITY PHARMACY AND HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITRA COLLINS PD (OWNER MANAGER)
(337) 276-4249
Entity
Organization
Contact information
Practice address
1411 MAIN ST, JEANERETTE, LA 70544-3505
(337) 276-4249
(337) 276-6472
Mailing address
1411 MAIN ST, JEANERETTE, LA 70544-3505
(337) 276-4249
(337) 276-6472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY005307IR
LA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271853
—
LA
01
—
2028748
PK
—
Enumeration date
10/07/2006
Last updated
09/22/2014
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