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Organization
KEYSTONE PHARMACY SERVICES LLC
Active
Organization
KEYSTONE PHARMACY SERVICES LLC
Active
Other names
The Pharmacy at LSU
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JAFFURS (OWNER)
(865) 671-7787
Entity
Organization
Contact information
Practice address
BROUSSARD ATHLETIC TRAINING CTR, NORTH STADIUM DRIVE, BATON ROUGE, LA 70803-0001
(225) 578-0681
(225) 578-3924
Mailing address
10360 DEERBORN LANE, KNOXILLE, TN 37932
(865) 671-7800
(865) 671-0064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PHY.007379-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164516
PK
—
Enumeration date
10/12/2016
Last updated
09/19/2025
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