Organization
PROFESSIONAL CARE PHARMACY, LLC
Active
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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