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Pontchartrain Pharmacy, Llc
Long Term Care Pharmacy in Mandeville, Louisiana
NPI 1134116742

Pontchartrain Pharmacy, Llc is a Long Term Care Pharmacy based in Mandeville, LA and is specialized in Long Term Care Pharmacy. Pontchartrain Pharmacy, Llc practices in Mandeville, LA. The NPI Number for Pontchartrain Pharmacy, Llc is 1134116742 and holds a License No. 1270-IR (Louisiana).

The current practice location address for Pontchartrain Pharmacy, Llc is 2045 Highway 59, Mandeville, LA and can be reached out via phone at 985-626-9726 and via fax at 985-626-7919. You can also correspond with Pontchartrain Pharmacy, Llc through the mailing address at PO BOX 399, MANDEVILLE, LA - 70470-0399 (mailing address contact number: 985-626-9726).

Location: 2045 Highway 59, Mandeville, LA, 70470-0399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134116742
Provider Name
Pontchartrain Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
2045 Highway 59, Mandeville, LA, 70470-0399
Phone Number
985-626-9726
Fax Number
985-626-7919
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1234460 05 LA
institution
Provider Business Practice Location Address Details
Address
2045 Highway 59
City
Mandeville
State
Louisiana
Zip
70448-1909
Phone Number
985-626-9726
Fax Number
985-626-7919
person
Provider Business Mailing Address Details
Address
Po Box 399
City
Mandeville
State
Louisiana
Zip
70470-0399
Phone Number
985-626-9726
Fax Number
985-626-7919
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
1270-IR (Louisiana)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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