# EARL K. LONG MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083766620
- **Authorized official:** MR. DONALD R SMITHBURG (VICE CHANCELLOR CEO)
- **Authorized official phone:** (225) 922-1474

## Contact information

- **Practice address:** 5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
- **Practice address phone:** (225) 358-1000
- **Practice address fax:** (225) 358-1003
- **Mailing address:** 5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
- **Mailing address phone:** (225) 358-1000
- **Mailing address fax:** (225) 358-1003

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020