Organization
180 FAMILY SERVICES LLC
Active
Other names
Island Drug and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ROD ROYAL (DIRECTOR OF OPERATIONS)
(225) 249-0079
Entity
Organization
Contact information
Practice address
9418 BROOKLINE AVE STE C, BATON ROUGE, LA 70809-1428
(225) 390-6963
(225) 650-7414
Mailing address
9418 BROOKLINE AVE STE C, BATON ROUGE, LA 70809-1428
(225) 249-0079
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
LA
Enumeration date
04/13/2020
Last updated
12/15/2024
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