Organization · Type 2 NPI

Shamrock Street Pharmacy

Community/Behavioral Health Agency · Pineville, LA

NPI number 1427365600 Active

Practice location

242 West Shamrock Street, Unit 2, Room 120
Pineville, LA 71360-6439

Fax (318) 484-6483

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	PHY-006280-INX (LA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

7 other providers at this address

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NPI record

NPI: 1427365600
Entity type: Organization (Type 2)
Issued: Sep 9, 2010
Last updated: Mar 18, 2011
Status: Active
Subpart: Yes of Central la State Hospital

Other names

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Central la State Hospital · other name

Authorized official

Mr. Jeff S Linzay, REGISTERED PHARMACIS
Pharmacy Director
(318) 484-6665

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427365600

Shamrock Street Pharmacy's National Provider Identifier is 1427365600, issued on Sep 9, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pineville, LA. The record was last updated on Mar 18, 2011.