Organization
THE COMPOUNDING PHARMACY OF SCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LANTIER PD (OWNER)
(337) 233-2003
Entity
Organization
Contact information
Practice address
5900 CAMERON ST, STE 100A, SCOTT, LA 70583
(337) 233-2003
(337) 233-3385
Mailing address
PO BOX 809, SCOTT, LA 70583-0809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5633IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1207667
—
LA
01
—
1932361
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
06/25/2008
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