Organization
KENTWOOD FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY DRISCOLL (SENIOR OFFICE MANAGER)
(504) 952-0670
Entity
Organization
Contact information
Practice address
706 AVENUE G, KENTWOOD, LA 70444-2602
(985) 614-5059
(985) 614-8619
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
09/21/2022
Last updated
01/30/2023
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