Capitol City Family Health Center, Incorporated
Organization Active NPI Community/Retail Pharmacy · Zachary, LA
NPI 1063972966 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1063972966
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
- Practice address
- 4852 Highway 19
Zachary, LA 70791-3530 - Phone
- (225) 478-9030
- NPI assigned
- Mar 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Matthew Valliere
- Title
- Ceo
- Phone
- (225) 650-2026
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Capitol City Family HLT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4852 Highway 19
Zachary, LA 70791-3530
Mailing address
PO Box 66156
Baton Rouge, LA 70896-6156
Phone (225) 478-9030
Other names
- Care South
Other providers in Zachary, LA
- Sarah Robert Bueche
- Haley Caire
- Amanda Callihan
- Sharde Shermane Campbell
- Lauren Malik Canady
- Capitol City Family Health Center, Incorporated
- Capitol City Family Health Center, Incorporated
- Julie Kay Carson
- David Montrelle Carter
- Tyler Cashio
All providers in Zachary, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.