# TIOGA PHARMACY LLC

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

## Provider details

- **NPI number:** 1942773213
- **Authorized official:** JEREMY POWELL RPH (PHARMACIST)
- **Authorized official phone:** (318) 769-9751

## Contact information

- **Practice address:** 5101 SHREVEPORT HWY, PINEVILLE, LA 71360
- **Practice address phone:** (318) 717-8555
- **Mailing address:** 685 ROBERTSON RD, POLLOCK, LA 71467-3809
- **Mailing address phone:** (318) 769-9751

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 10/27/2023