Provider Demographics
NPI:1558014530
Name:ALL SAINTS PHARMACY LLC
Entity Type:Organization
Organization Name:ALL SAINTS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-443-1294
Mailing Address - Street 1:2124 38TH ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3510
Mailing Address - Country:US
Mailing Address - Phone:504-443-1294
Mailing Address - Fax:504-443-1982
Practice Address - Street 1:2124 38TH ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3510
Practice Address - Country:US
Practice Address - Phone:504-443-1294
Practice Address - Fax:504-443-1982
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SAINTS PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy