Organization
KTN PHARMACY LLC
Active
Other names
East Jefferson Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIM-PHUC NGUYEN (PHARMACIST/OWNER)
(504) 468-2361
Entity
Organization
Contact information
Practice address
1301 WILLIAMS BLVD, KENNER, LA 70062-6507
(504) 905-9348
Mailing address
1301 WILLIAMS BLVD, KENNER, LA 70062-6507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206656
—
LA
Enumeration date
09/24/2018
Last updated
04/02/2025
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