Organization
WELLNECESSITIES PHARMACY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS Y KALSTONE MS,RPH (COMPOUNDING PHARMACIST)
(318) 222-0885
Entity
Organization
Contact information
Practice address
8835 LINE AVE, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 861-7431
Mailing address
8835 LINE AVE, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 861-7431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10973
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271969
—
LA
Enumeration date
12/16/2005
Last updated
08/22/2020
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