Line Avenue Pharmacy Inc in Shreveport - Community/retail Pharmacy
Line Avenue Pharmacy Inc - NPI 1619058468
Line Avenue Pharmacy Inc is a Community/retail Pharmacy in Shreveport, Louisiana. Line Avenue Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Line Avenue Pharmacy Inc is 1619058468. The last update date is 2020-08-22.
Line Avenue Pharmacy Inc's current location address is 1822 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182215114 and fax number 3182215137. The mailing address for Line Avenue Pharmacy Inc is 1822 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Line Avenue Pharmacy Inc |
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Address | 1822 Line Ave, Shreveport, Louisiana |
Phone Number | 3182215114 |
Fax Number | 3182215137 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Caudle Randall Stephen |
Credentials | PD |
Telephone Number | 3182215114 |
NPI Number Detail
NPI Number | 1619058468 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1822 Line Ave |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711014612 |
Phone Number | 3182215114 |
Fax Number | 3182215137 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | LA 3999-IR |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1266841 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Line Avenue Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Line Avenue Pharmacy Inc has been issued the NPI (National Provider Identifier) 1619058468. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Line Avenue Pharmacy Inc?
The Line Avenue Pharmacy Inc is situated at 1822 Line Ave, in the city of Shreveport, state of LA, with the zip code 711014612.
What is Line Avenue Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Line Avenue Pharmacy Inc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did Line Avenue Pharmacy Inc receive its 1619058468 assignment from the Centers for Medicare & Medicaid Services?
The Line Avenue Pharmacy Inc was assigned its 1619058468 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Line Avenue Pharmacy Inc last refreshed?
The information related to the Line Avenue Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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