Organization
CENTRAMED RADIOPHARMACY, LLC
Active
Other names
Centramed Radiopharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL STUART ROBERTS RPH, BCNP (OWNER)
(318) 323-3673
Entity
Organization
Contact information
Practice address
348 DESIARD ST, SUITE C, MONROE, LA 71201-7429
(318) 323-3673
Mailing address
348 DESIARD ST, SUITE C, MONROE, LA 71201-7429
(318) 323-3673
Taxonomy
Speciality
Code
Description
License number
State
3336N0007X
Nuclear Pharmacy
Primary
5695-NU
LA
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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