# NDD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Desoto Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255732012
- **Authorized official:** AMANDA DOMINGUEZ (OWNER)
- **Authorized official phone:** (318) 775-4371

## Contact information

- **Practice address:** 316 PLANTATION HILLS BLVD STE A, STONEWALL, LA 71078-2838
- **Practice address phone:** (318) 775-4371
- **Practice address fax:** (318) 775-4369
- **Mailing address:** 316 PLANTATION HILLS BLVD STE A, STONEWALL, LA 71078-2838
- **Mailing address phone:** (318) 775-4371
- **Mailing address fax:** (318) 775-4369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006948-IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/30/2022