Organization
PARKWAY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEEF ODEYEMI OWNER (PHARMACIST)
(318) 388-4349
Entity
Organization
Contact information
Practice address
10374 HIGHWAY 165 N STE C, STERLINGTON, LA 71280-3369
(318) 812-2305
(318) 665-0092
Mailing address
10374 HIGHWAY 165 N STE C, STERLINGTON, LA 71280-3369
(318) 243-4748
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22072425
—
LA
Enumeration date
08/27/2019
Last updated
03/02/2023
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