# LEE ROAD FAMILY PHARMACY INC.

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

## Provider details

- **NPI number:** 1275918922
- **Authorized official:** MR. EARL GLEN WILLIAMS JR. PHARM D (PRESIDENT)
- **Authorized official phone:** (504) 382-8461

## Contact information

- **Practice address:** 19705 HIGHWAY 40, COVINGTON, LA 70435-9316
- **Practice address phone:** (504) 382-8461
- **Mailing address:** 19705 HIGHWAY 40, COVINGTON, LA 70435-9316
- **Mailing address phone:** (504) 382-8461

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/23/2015