# LAKE CHARLES PHARMACEUTICAL SUPPLY COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Other names:** Medical Plaza Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750446183
- **Legal business name:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Authorized official:** AMANDA JOINER SALTZMAN (PHARMACY MANAGER)
- **Authorized official phone:** (337) 494-2990

## Contact information

- **Practice address:** 1717 OAK PARK BLVD STE 110, LAKE CHARLES, LA 70601-8977
- **Practice address phone:** (337) 494-2990
- **Practice address fax:** (337) 494-2550
- **Mailing address:** 1717 OAK PARK BLVD STE 110, LAKE CHARLES, LA 70601-8977
- **Mailing address phone:** (337) 494-2990
- **Mailing address fax:** (337) 494-2550

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 04/28/2021