Organization
AFFORDABLE PHARMACY LLC
Active
Other names
affordable pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTON STACIA (PHARMACIST IN CHARGE)
(225) 284-2825
Entity
Organization
Contact information
Practice address
1718 N FOSTER DR STE B, BATON ROUGE, LA 70806-1076
(225) 771-8134
(225) 771-8197
Mailing address
1718 N FOSTER DR STE B, BATON ROUGE, LA 70806-1076
(225) 771-8134
(225) 771-8197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006423IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935949
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2201077
—
LA
Enumeration date
11/16/2011
Last updated
07/16/2012
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