=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881954089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NOLA DISCOUNT PHARMACY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2012
-----------------------------------------------------
Last Update Date | 04/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4305 CLEARVIEW PKWY STE B
-----------------------------------------------------
City | METAIRIE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70006-2762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-888-9411
-----------------------------------------------------
Fax | 504-888-9410
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4305 CLEARVIEW PKWY STE B
-----------------------------------------------------
City | METAIRIE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70006-2762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-888-9411
-----------------------------------------------------
Fax | 504-888-9410
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | MR. ZACHARY COLE DUNCAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 504-473-3714
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PHY.006518-IR
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------