Organization
LALLIE KEMP MEDICAL CTR
Active
Other names
LALLIE KEMP OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FRICKER RPH (PHARMACY DIRECTOR)
(985) 878-1280
Entity
Organization
Contact information
Practice address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-1317
(985) 878-1548
Mailing address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-1317
(985) 878-1548
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHY004495IRX
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035248
PK
—
Enumeration date
05/03/2007
Last updated
03/24/2016
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