Organization
LOUISIANA INSTITUTIONAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY G. MILLER RPH (PHARMACIST IN CHARGE)
(337) 265-2445
Entity
Organization
Contact information
Practice address
7515 CAMERON ST, DUSON, LA 70529-3312
(337) 873-7575
(337) 265-2446
Mailing address
522 W. PINHOOK, LAFAYETTE, LA 70503
(337) 265-2445
(337) 265-2446
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHY.006334-IR
LA
3336L0003X
Long Term Care Pharmacy
PHY006334-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200593
—
LA
Enumeration date
12/28/2010
Last updated
04/16/2018
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