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
STUDENT HEALTH CENTER BUILDING, INFIRMARY DR ROOM 172 LOUISIANA STATE UNIVERSITY, BATON ROUGE, LA 70803-0001
(225) 578-5651
(225) 578-7684
Mailing address
10360 DEERBORN LANE, KNOXILLE, TN 37932
(865) 671-7800
(865) 671-0064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007378-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164500
PK
—
Enumeration date
10/04/2016
Last updated
09/19/2025
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