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Fountain Park Pharmacy Inc. — NPI 1407282585, Harvey, LA | NPI Central

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NPI 1407282585

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Fountain Park Pharmacy Inc.

NPI 1407282585 · Pharmacy · Harvey, LA

Provider details

NPI number: 1407282585
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Jo Stephanie Culotta, Owner/Pharmacist(504) 434-4777
License: PHY007141IR (LA)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 114250 (AL)
Suppliers
Pharmacy333600000XLicense PHY007141IR (LA)
Suppliers
Pharmacy333600000XLicense LA1845 (KY)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PH27207 (FL)
Suppliers
Pharmacy333600000XLicense 5277 (TN)
Suppliers
Compounding Pharmacy3336C0004XLicense PHNR000702 (GA)
Suppliers
Pharmacy

Practice location

1901 Manhattan Blvd

Building F Suite 104

Harvey, LA 70058-3582

Phone: (504) 434-4777

Fax: (504) 309-8031

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

1901 Manhattan Blvd

Harvey, LA 70058-3582

Other names (DBA / former)

Doing business as: Fountain Park Pharmacy Inc.

Registry dates

Enumerated: 2013-09-19
Last updated: 2016-09-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

333600000X

License 14022/7.1 (MS)

Suppliers

Pharmacy333600000XLicense 15677 (SC)

Suppliers

Pharmacy333600000XLicense 22-44626 (KS)

Suppliers