Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA ANDRIA OATS R.PH (REGISTERED PHARMACIST)
(504) 598-8119
Entity
Organization
Contact information
Practice address
3001 E TEXAS ST, BOSSIER CITY, LA 71111-3207
(318) 742-6600
(318) 742-7207
Mailing address
3001 E TEXAS ST, BOSSIER CITY, LA 71111-3207
(318) 742-6600
(318) 742-7207
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MA.002302
LA
3336C0003X
Community/Retail Pharmacy
MS.002302
LA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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