Provider Demographics
NPI:1245468313
Name:NOAHS PHARMACY,LLC
Entity type:Organization
Organization Name:NOAHS PHARMACY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-892-7456
Mailing Address - Street 1:6572 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRUSLY
Mailing Address - State:LA
Mailing Address - Zip Code:70719-2518
Mailing Address - Country:US
Mailing Address - Phone:225-892-7456
Mailing Address - Fax:
Practice Address - Street 1:400 W SAINT FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BRUSLY
Practice Address - State:LA
Practice Address - Zip Code:70719-2283
Practice Address - Country:US
Practice Address - Phone:225-749-8202
Practice Address - Fax:225-749-8205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16122333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy