# SS BATON ROUGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** QVL PHARMACY \#222
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912950536
- **Authorized official:** GARY CHAD COLLINS (CEO)
- **Authorized official phone:** (214) 624-3050

## Contact information

- **Practice address:** 5454 BLUEBONNET RD, STE H, BATON ROUGE, LA 70809-2986
- **Practice address phone:** (225) 767-6329
- **Practice address fax:** (225) 767-8726
- **Mailing address:** PO BOX 803493, DALLAS, TX 75380-3493
- **Mailing address phone:** (214) 624-3073
- **Mailing address fax:** (214) 989-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 5449RC | LA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 06/17/2014