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Organization

PROFESSIONAL CARE PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT BARRY DOPSON (MANAGING MEMBER)
(318) 345-2891
Entity
Organization

Contact information

Practice address
1406 LAMY LN, MONROE, LA 71201-3732
(318) 345-2891
(318) 343-0093
Mailing address
1406 LAMY LN, MONROE, LA 71201-3732
(318) 345-2891
(318) 343-0093

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1228257
LA
01
C006006-1R
LOUISIANA BOARD PHARMACY
Enumeration date
01/10/2007
Last updated
04/09/2019
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