FAMILY PHARMACY JONESBORO LLC
Medical Equipment Supplier Yellow Pages
Jonesboro, Louisiana
Provider NPI: 1457384927
Organization Information:Organization Name: FAMILY PHARMACY JONESBORO LLC
Practice Location:
500 ALEXANDER ST JONESBORO, LA 71251 US
Tel: 318-259-7334 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
500 ALEXANDER ST JONESBORO, LA 71251 US
Tel: 318-259-7334 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | LA | 4438-IR |
N | 333600000X | Suppliers Pharmacy | LA | 4438-IR |
N | 3336L0003X | Suppliers Pharmacy | LA | 4438-IR |
Y | 3336C0003X | Suppliers Pharmacy | LA | 4438-IR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS DME | 720853314A | LA | 01 |
1267937 | LA | 05 | |
BCBS HIT | 7208533140 | LA | 01 |
TRICARE | 7208533140001 | LA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin