Organization
STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOCIATION, INC
Active
Other names
Stanocola Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEDOUX CHASTANT (CHIEF EXECUTIVE OFFICER)
(225) 952-8730
Entity
Organization
Contact information
Practice address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 926-7200
(225) 952-8502
Mailing address
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816-3254
(225) 926-7200
(225) 952-8502
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
C001065-1R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267961
—
LA
01
—
C001065-1R
STATE LICENSE
LA
Enumeration date
04/27/2007
Last updated
08/22/2020
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