Organization
OUR LADY OF THE LAKE HOSPITAL
Active
Other names
Midcity Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SPICER (MARKET PRESIDENT)
(225) 765-6565
Entity
Organization
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9107
(225) 987-9104
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 765-6565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007564-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175083
PK
—
05
—
2205641
—
LA
Enumeration date
12/26/2017
Last updated
01/19/2026
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