Organization
CENTRAL PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON REED RPH (MGING OFFICER OF PHCY)
(337) 802-1336
Entity
Organization
Contact information
Practice address
811 MARTIN LUTHER KING JR DR, LAFAYETTE, LA 70501-1845
(337) 236-6609
(337) 236-6621
Mailing address
811 MARTIN LUTHER KING JR DR, LAFAYETTE, LA 70501-1845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5651 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932842
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/11/2006
Last updated
08/22/2020
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