# LOUISIANA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUISIANA STATE UNIVERSITY
- **Other names:** LSU Athletic Department Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225512767
- **Legal business name:** LOUISIANA STATE UNIVERSITY
- **Authorized official:** TONI D SCOTT PHARMD (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (225) 485-3444

## Contact information

- **Practice address:** 1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
- **Practice address phone:** (225) 578-0681
- **Practice address fax:** (225) 578-3924
- **Mailing address:** 1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
- **Mailing address phone:** (225) 578-0681
- **Mailing address fax:** (225) 578-3924

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 09/20/2018