Provider Demographics
NPI:1558966358
Name:MD PHARMACY, LLC
Entity Type:Organization
Organization Name:MD PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:504-309-6799
Mailing Address - Street 1:925 BEHRMAN HWY STE E&F
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-4569
Mailing Address - Country:US
Mailing Address - Phone:504-309-6799
Mailing Address - Fax:504-766-8289
Practice Address - Street 1:925 BEHRMAN HWY STE E&F
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-4569
Practice Address - Country:US
Practice Address - Phone:504-309-6799
Practice Address - Fax:504-766-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy