Provider Demographics
NPI:1194474551
Name:HARVEY PHARMACEUTICALS 2 LLC
Entity type:Organization
Organization Name:HARVEY PHARMACEUTICALS 2 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARVIS
Authorized Official - Middle Name:KEON
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:504-582-9300
Mailing Address - Street 1:3926 BARRON ST STE C200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5799
Mailing Address - Country:US
Mailing Address - Phone:504-582-9300
Mailing Address - Fax:504-582-9301
Practice Address - Street 1:416 N BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-2828
Practice Address - Country:US
Practice Address - Phone:225-416-7518
Practice Address - Fax:225-433-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies