Provider Demographics
NPI:1932435450
Name:GENERAL MEYER PHARMACY
Entity Type:Organization
Organization Name:GENERAL MEYER PHARMACY
Other - Org Name:GENERAL MEYER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-236-0567
Mailing Address - Street 1:PO BOX 6206
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-6206
Mailing Address - Country:US
Mailing Address - Phone:504-236-0567
Mailing Address - Fax:504-872-9781
Practice Address - Street 1:3201 GENERAL MEYER AVE STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3201
Practice Address - Country:US
Practice Address - Phone:504-872-9882
Practice Address - Fax:504-872-9781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY006196IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2122604OtherPK