OrganizationActive
Alfonso Pharmacy LLC
NPI 1306341110 · Community/Retail Pharmacy · Slidell, LA
Provider details
- NPI number
- 1306341110
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bradley Alfonso, Owner(504) 905-5041
Specialties & taxonomies
Suppliers
Practice location
1203 Robert Blvd
Slidell, LA 70458-2015
Phone: (985) 445-1179
Fax: (985) 445-1279
Approximate (ZIP-level) locationGet directions
Mailing address
1203 Robert Blvd
Slidell, LA 70458-2015
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2022-06-21
- Certified
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.