Organization
LEE ROAD DRUGS
Active
Parent organization
LEE ROAD DRUGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEE ROAD DRUGS LLC
Authorized official
MR. ROBERT LOUIS KRYJAK RPH (PHARMACIST-IN-CHARGE)
(985) 982-4800
Entity
Organization
Contact information
Practice address
19705 HIGHWAY 40, SUITE 100, COVINGTON, LA 70435-9316
(985) 892-4800
(985) 871-8833
Mailing address
19705 HIGHWAY 40, SUITE 100, COVINGTON, LA 70435-9316
(985) 892-4800
(985) 871-8833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271268
—
LA
Enumeration date
02/07/2008
Last updated
02/07/2008
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