Organization · Type 2 NPI

Innis Community Health Center, Inc

Community/Retail Pharmacy · Maringouin, LA

NPI number 1104720069 Active

Practice location

77575 Landry Dr
Maringouin, LA 70757-3210

Fax (225) 442-3107

Mailing address

1620 W Northwest Hwy Ste 100
Grapevine, TX 76051-3219

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) 261QF0400XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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About NPI 1104720069

Innis Community Health Center, Inc's National Provider Identifier is 1104720069, issued on Oct 5, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Maringouin, LA. The record was last updated on Oct 5, 2026.