Organization
NDD LLC
Active
Other names
North Desoto Drug
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DOMINGUEZ (OWNER)
(318) 775-4371
Entity
Organization
Contact information
Practice address
316 PLANTATION HILLS BLVD STE A, STONEWALL, LA 71078-2838
(318) 775-4371
(318) 775-4369
Mailing address
316 PLANTATION HILLS BLVD STE A, STONEWALL, LA 71078-2838
(318) 775-4371
(318) 775-4369
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006948-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147912
PK
—
05
—
2203061
—
LA
Enumeration date
09/11/2014
Last updated
09/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us