# OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ochsner LSU Health Shreveport - St. Mary Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073313268
- **Authorized official:** JASON LAFITTE (AVP, PHARMACY)
- **Authorized official phone:** (318) 560-7698

## Contact information

- **Practice address:** 911 MARGARET PLACE, ATTN: PHARMACY, RM 1B-021, SHREVEPORT, LA 71101
- **Practice address phone:** (318) 626-2484
- **Mailing address:** 911 MARGARET PLACE, ATTN: PHARMACY, RM 1B-021, SHREVEPORT, LA 71101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 03/17/2025