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Organization
PHARMACY 1920 LLC
Active
Organization
PHARMACY 1920 LLC
Active
Other names
WHIT'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKTIM R BARUAH N/A (PRESIDENT)
(318) 880-7622
Entity
Organization
Contact information
Practice address
107 E MADISON AVE, BASTROP, LA 71220-3823
(318) 281-2305
(318) 283-2033
Mailing address
PO BOX 860, BASTROP, LA 71221-0860
(318) 880-7622
(318) 283-2033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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