Organization
LAKE CHARLES PHARMACEUTICAL SUPPLY COMPANY LLC
Active
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Other names
Medical Plaza Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Authorized official
AMANDA JOINER SALTZMAN (PHARMACY MANAGER)
(337) 494-2990
Entity
Organization
Contact information
Practice address
1717 OAK PARK BLVD STE 110, LAKE CHARLES, LA 70601-8977
(337) 494-2990
(337) 494-2550
Mailing address
1717 OAK PARK BLVD STE 110, LAKE CHARLES, LA 70601-8977
(337) 494-2990
(337) 494-2550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007810-IR
BOARD OF PHARMACY
LA
01
—
2133790
PK
—
05
—
2206842
—
LA
Enumeration date
12/26/2006
Last updated
04/28/2021
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