Organization
NEW LIFE PHARMACY LLC
Active
Other names
NEW LIFE PHARMACY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TENA PARKER (OWNER/PIC)
(225) 275-2425
Entity
Organization
Contact information
Practice address
234 LITTLE JOHN DR, BATON ROUGE, LA 70815-6124
(225) 275-2425
(225) 275-2427
Mailing address
PO BOX 45276, BATON ROUGE, LA 70895-4276
(225) 275-2425
(225) 275-2427
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6148
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1934668
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/13/2009
Last updated
09/25/2009
Update your record
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