M D Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Westwego, LA
NPI 1487766473 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1487766473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 4699 (LA)
- Legal business name
- M D PHARMACY INC
- Practice address
- 712 Westbank Expy
Westwego, LA 70094-4400 - Phone
- (504) 340-1110
- Fax
- (504) 340-5188
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Fazende
- Title
- Owner
- Phone
- (504) 340-7744
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4699 | LA | Yes |
Addresses
Primary practice location
712 Westbank Expy
Westwego, LA 70094-4400
Mailing address
712 Westbank Expy
Westwego, LA 70094-4400
Phone (504) 340-1110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1268933 | Medicaid | LA | |
| 1930343 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- MD PHARMACY INC
Other providers in Westwego, LA
- Kristina Smith Lacaze
- Mona M Lacour
- Tamira Leblanc
- Stequana Lenox
- Louisiana CVS Pharmacy, L.L.C.
- Michael F McSween
- Abdelaziz Mirfiq
- Samuel David Montgomery
- My 3 Bee'S Transportation
- Victoria Anise Nagin
All providers in Westwego, 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 Mar 5, 2010. 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.