Provider Demographics
NPI:1568019024
Name:ST FRANCISVILLE PHARMACY LLC
Entity type:Organization
Organization Name:ST FRANCISVILLE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DJAPNI
Authorized Official - Suffix:
Authorized Official - Credentials:PST
Authorized Official - Phone:318-793-2400
Mailing Address - Street 1:PO BOX 1512
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-1512
Mailing Address - Country:US
Mailing Address - Phone:318-793-2400
Mailing Address - Fax:318-793-9100
Practice Address - Street 1:7189 US HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:SAINT FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4541
Practice Address - Country:US
Practice Address - Phone:318-793-2400
Practice Address - Fax:318-793-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy