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Organization

LANE M ZIMMER

Active
Other names
TOMPKINS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LANE ZIMMER RPH (OWNER)
(225) 869-3535
Entity
Organization

Contact information

Practice address
2064 W MAIN ST, LUTCHER, LA 70071
(225) 869-3535
(225) 869-8802
Mailing address
PO BOX 367, LUTCHER, LA 70071-0367

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001129-IR
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1241504
LA
01
2028917
PK
Enumeration date
07/30/2006
Last updated
02/28/2017
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