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Organization
TIOGA PHARMACY LLC
Active
Organization
TIOGA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY POWELL RPH (PHARMACIST)
(318) 769-9751
Entity
Organization
Contact information
Practice address
5101 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 717-8555
Mailing address
685 ROBERTSON RD, POLLOCK, LA 71467-3809
(318) 769-9751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/09/2019
Last updated
10/27/2023
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