Provider Demographics
NPI:1033659461
Name:HEALTHY SOLUTIONS PHARMACY & MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:HEALTHY SOLUTIONS PHARMACY & MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:GONZALES
Authorized Official - Last Name:NORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-605-0646
Mailing Address - Street 1:600 E JUDGE PEREZ DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-5201
Mailing Address - Country:US
Mailing Address - Phone:504-605-0646
Mailing Address - Fax:504-309-1147
Practice Address - Street 1:600 E JUDGE PEREZ DR STE A
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-5201
Practice Address - Country:US
Practice Address - Phone:504-605-0646
Practice Address - Fax:504-309-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2205382Medicaid