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Organization

TRIEL REGIONS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LURTHIE LEATHAMAN (PHARM ADMIN)
(225) 763-6259
Entity
Organization

Contact information

Practice address
9270 SIEGEN LN, STE 803, BATON ROUGE, LA 70810-1998
(225) 763-6259
(225) 763-6262
Mailing address
9270 SIEGEN LN, STE 803, BATON ROUGE, LA 70810-1998

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
5581
LA
3336C0003X
Community/Retail Pharmacy
3336M0002X
Mail Order Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1211346
LA
01
1932638
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/30/2006
Last updated
09/11/2025
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