Organization
KASTAK SERVICES, L.L.C.
Active
Other names
Cypress Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY SIMONEAUX PHARM.D. (OWNER/PHARMACIST)
(225) 998-1800
Entity
Organization
Contact information
Practice address
2920 S RANGE AVE, DENHAM SPRINGS, LA 70726-5566
(225) 998-1800
(225) 998-1803
Mailing address
2920 S RANGE AVE, DENHAM SPRINGS, LA 70726-5566
(225) 998-1800
(225) 998-1803
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205439
—
LA
Enumeration date
10/24/2017
Last updated
06/20/2025
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