Pontchartrain Pharmacy, LLC
NPI #1134116742 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1134116742
- Entity Type
- Organization
- Organization Name
- Pontchartrain Pharmacy, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 2045 HIGHWAY 59
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448-1909
- Phone
- (985) 626-9726
Authorized Official
- Name
- MRS. MARY LYNN LEACH, CPA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (985) 626-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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