Organization
CENTAL LA STATE HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF LINZAY RPH (PHARMACY DIRECTOR)
(318) 484-6666
Entity
Organization
Contact information
Practice address
244 WEST SHAMROCK ST, PINEVILLE, LA 71360
(318) 484-6666
(318) 484-6339
Mailing address
244 WEST SHAMROCK ST, P.O. BOX 5031, PINEVILLE, LA 71360
(318) 484-6666
(318) 484-6339
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
C000150-H
LA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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