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Organization
LOUISIANA INSTITUTIONAL PHARMACY LLC
Active
Organization
LOUISIANA INSTITUTIONAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY G. MILLER RPH (PHARMACIST IN CHARGE)
(337) 265-2445
Entity
Organization
Contact information
Practice address
7515 CAMERON ST, DUSON, LA 70529-3312
(337) 873-7575
(337) 265-2446
Mailing address
522 W. PINHOOK, LAFAYETTE, LA 70503
(337) 265-2445
(337) 265-2446
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHY.006334-IR
LA
3336L0003X
Long Term Care Pharmacy
PHY006334-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200593
—
LA
Enumeration date
12/28/2010
Last updated
04/16/2018
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