Provider Demographics
NPI:1841954609
Name:LA FE PHARMACY LLC
Entity type:Organization
Organization Name:LA FE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANCARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-987-0900
Mailing Address - Street 1:3122 SPENCER HWY STE E
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1162
Mailing Address - Country:US
Mailing Address - Phone:713-842-7857
Mailing Address - Fax:
Practice Address - Street 1:3122 SPENCER HWY STE E
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1162
Practice Address - Country:US
Practice Address - Phone:713-842-7857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy