Organization
NORTHEAST LA PHARMACY
Active
Other names
NATIONAL PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ROBICHAUX RPH (REGIONAL DIRECTOR OF OPERATIONS-NOR)
(318) 797-9517
Entity
Organization
Contact information
Practice address
8860 QUIMPER PL, SUITE 100, SHREVEPORT, LA 71105-5686
(318) 797-9517
(318) 212-0057
Mailing address
8860 QUIMPER PL, SUITE 100, SHREVEPORT, LA 71105-5686
(318) 797-9517
(318) 212-0057
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY005546IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275221
—
LA
01
—
2034907
PK
—
Enumeration date
06/02/2006
Last updated
11/17/2023
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