Organization
KASTAK SERVICES, L.L.C.
Active
Other names
Cypress Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY SIMONEAUX PHARM.D. (OWNER/PHARMACIST)
(225) 214-0133
Entity
Organization
Contact information
Practice address
5383 JONES CREEK RD STE B, BATON ROUGE, LA 70817-2126
(225) 214-0133
(225) 214-0136
Mailing address
5383 JONES CREEK RD STE B, BATON ROUGE, LA 70817-2126
(225) 214-0133
(225) 214-0136
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203762
—
LA
Enumeration date
04/30/2008
Last updated
06/13/2025
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