| NPI | 1407282585 |
|---|---|
| Doing Business As | FOUNTAIN PARK PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JO STEPHANIE CULOTTA Owner/Pharmacist 504-434-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 114250) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA PHY007141IR) |
| 333600000X Pharmacy (Licence: KY LA1845) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH27207) | |
| 333600000X Pharmacy (Licence: TN 5277) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHNR000702) | |
| 333600000X Pharmacy (Licence: MS 14022/7.1) | |
| 333600000X Pharmacy (Licence: SC 15677) | |
| 333600000X Pharmacy (Licence: KS 22-44626) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-09-01 |