Organization
HEALTHCARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS EDWARD ROBICHAUX RPH (MANAGER)
(318) 671-9603
Entity
Organization
Contact information
Practice address
8720 QUIMPER PL STE 300, SHREVEPORT, LA 71105-5742
(318) 671-9603
(318) 671-1106
Mailing address
8720 QUIMPER PL STE 300, SHREVEPORT, LA 71105-5742
(318) 671-9603
(318) 671-1106
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
7465-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205161
—
LA
01
—
7465-IR
LOUISIANA BOARD OF PHARMACY PERMIT
LA
Enumeration date
10/04/2005
Last updated
03/07/2023
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