# COMMUNITY PHARMACY LLC

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

## Provider details

- **NPI number:** 1679857304
- **Authorized official:** MR. WILLIAM KYLE KLITZKE (PRESIDENT)
- **Authorized official phone:** (318) 398-2100

## Contact information

- **Practice address:** 2904 FORSYTHE AVE, MONROE, LA 71201-3610
- **Practice address phone:** (318) 398-2100
- **Practice address fax:** (318) 387-7682
- **Mailing address:** 2904 FORSYTHE AVE, MONROE, LA 71201-3610
- **Mailing address phone:** (318) 398-2100
- **Mailing address fax:** (318) 387-7682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006459-IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/29/2011
- **Last updated:** 05/25/2023