Organization Name: | LACOMBE FAMILY PHARMACY LLC |
NPI Number: | 1215274741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY BYRON BONDI (OWNER) |
Mailing Address: | 28079 Us Hwy 190 Lacombe |
State: | LA US |
Postal Code: | 70445 |
Phone Number: | 9858825999 |
Fax Number: | 9858825111 |
NPI Enumeration Date: | 01/03/2013 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |