Healthcare Provider Details

I. General information

NPI: 1801972211
Provider Name (Legal Business Name): FELICIANA PHARMACY, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7189 US HWY 61
SAINT FRANCISVILLE LA
72775-0598
US

IV. Provider business mailing address

PO BOX 578
SAINT FRANCISVILLE LA
70775-0578
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-3700
  • Fax: 225-635-3491
Mailing address:
  • Phone: 225-635-3700
  • Fax: 225-635-3491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9818
License Number StateLA

VIII. Authorized Official

Name: MR. JAMES H. HARVEY
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 225-635-3700