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Organization
LOUISIANA STATE UNIVERSITY
Active
Organization
LOUISIANA STATE UNIVERSITY
Active
Parent organization
LOUISIANA STATE UNIVERSITY
Other names
LSU Athletic Department Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA STATE UNIVERSITY
Authorized official
TONI D SCOTT PHARMD (PHARMACIST-IN-CHARGE)
(225) 485-3444
Entity
Organization
Contact information
Practice address
1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
(225) 578-0681
(225) 578-3924
Mailing address
1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
(225) 578-0681
(225) 578-3924
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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