Organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Active
Parent organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Other names
Our Lady of the Lake Children's Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF THE LAKE HOSPITAL, INC.
Authorized official
MR. FRANK CANOVA JR. (VICE PRESIDENT OF FINANCE)
(225) 765-6312
Entity
Organization
Contact information
Practice address
8300 CONSTANTIN BLVD FL 2, BATON ROUGE, LA 70809-3489
(225) 765-8786
(225) 765-9906
Mailing address
8300 CONSTANTIN BLVD FL 2, BATON ROUGE, LA 70809-3489
(225) 374-4325
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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