Organization
OPEN DOOR PHARMACY LLC
Active
Other names
open door pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TENA PARKER (OWNER/PIC)
(225) 573-4050
Entity
Organization
Contact information
Practice address
12087 OLD HAMMOND HWY STE E, BATON ROUGE, LA 70816-8776
(225) 454-6619
(225) 454-6609
Mailing address
PO BOX 45276, BATON ROUGE, LA 70895-4276
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006366
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935646
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2011
Last updated
01/16/2013
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