Organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Active
Other names
Lake Children's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK SPICER (MARKET PRESIDENT)
(225) 765-7702
Entity
Organization
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1350
(225) 374-1351
Mailing address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1350
(225) 374-1351
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
09/04/2024
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