MEDICARE: HSP,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10877	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5313070001	OTHER	LA	MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316917727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HSP,LLC

Provider Business Mailing Address
First Line	:	PO BOX 6704
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70174-6704
Country	:	US
Telephone Number	:	504-324-6270
Fax Number	:	504-324-6273

Provider Business Practice Location Address
First Line	:	3600 GENERAL MEYER AVE
Second Line	:	SUITE C
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-3393
Country	:	US
Telephone Number	:	504-324-6270
Fax Number	:	504-324-6273

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MRS. CYNTHIA HOBBS SHELTON
Credential	:	R.PH.
Telephone Number	:	504-324-6270

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	11/19/2007

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Directions to “HSP,LLC ” Practice Location

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