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Organization

KEYSTONE PHARMACY SERVICES LLC

Active
Other names
The Pharmacy at LSU
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS JAFFURS (OWNER)
(865) 671-7787
Entity
Organization

Contact information

Practice address
BROUSSARD ATHLETIC TRAINING CTR, NORTH STADIUM DRIVE, BATON ROUGE, LA 70803-0001
(225) 578-0681
(225) 578-3924
Mailing address
10360 DEERBORN LANE, KNOXILLE, TN 37932
(865) 671-7800
(865) 671-0064

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336I0012X
Institutional Pharmacy
Primary
PHY.007379-IR
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2164516
PK
Enumeration date
10/12/2016
Last updated
09/19/2025
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