Organization Name: | ABITA PHARMACY INC |
NPI Number: | 1023199684 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ROGER CHAMBERLAIN (OWNER-PIC) |
Mailing Address: | 22107 Highway 36 # B Abita Springs |
State: | LA US |
Postal Code: | 704203949 |
Phone Number: | 9858759906 |
Fax Number: | 9858759926 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | C004842-IR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |