Organization
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Active
Other names
CARESOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
MAIMOUNA KEITA (CFO)
(225) 650-2000
Entity
Organization
Contact information
Practice address
8730 YOUREE DR, SHREVEPORT, LA 71115-2500
(318) 408-1508
(318) 408-1509
Mailing address
PO BOX 66156, BATON ROUGE, LA 70896-6156
(225) 650-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/03/2022
Last updated
10/31/2024
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