Organization
FTW LAKE CHARLES LLC
Active
Parent organization
FTW LAKE CHARLES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FTW LAKE CHARLES LLC
Authorized official
GLYNDA S FUSELIER (OWNER)
(337) 477-7733
Entity
Organization
Contact information
Practice address
1505 W MCNEESE ST, LAKE CHARLES, LA 70605-4241
(337) 477-7733
(337) 477-6996
Mailing address
1505 W MCNEESE ST, LAKE CHARLES, LA 70605-4241
(337) 477-7733
(337) 477-6996
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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