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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