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Organization

LOUISIANA STATE UNIVERSITY

Active
Parent organization
LOUISIANA STATE UNIVERSITY
Other names
LSU Athletic Department Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOUISIANA STATE UNIVERSITY
Authorized official
TONI D SCOTT PHARMD (PHARMACIST-IN-CHARGE)
(225) 485-3444
Entity
Organization

Contact information

Practice address
1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
(225) 578-0681
(225) 578-3924
Mailing address
1 NORTH STADIUM DRIVE, BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803
(225) 578-0681
(225) 578-3924

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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