Healthcare Provider Details

I. General information

NPI: 1457383499
Provider Name (Legal Business Name): ARCADIA FAMILY PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 NORTH HAZEL STREET
ARCADIA LA
71001
US

IV. Provider business mailing address

500 ALEXANDER STREET
JONESBORO LA
71251
US

V. Phone/Fax

Practice location:
  • Phone: 318-263-3948
  • Fax: 318-263-7006
Mailing address:
  • Phone: 901-238-2520
  • Fax: 901-365-9820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PETER SAAD
Title or Position: MANAGER
Credential:
Phone: 318-259-7334