Line Avenue Pharmacy Inc in Shreveport - Nuclear Pharmacy
Line Avenue Pharmacy Inc - NPI 1619058468
Line Avenue Pharmacy Inc is a Nuclear Pharmacy in Shreveport, Louisiana. Line Avenue Pharmacy Inc practices all healthcare services and medical treatments related to Nuclear 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 |
|---|---|
| Address | 1822 Line Ave, Shreveport, Louisiana |
| Phone Number | 3182215114 |
| Fax Number | 3182215137 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Caudle Randall Stephen |
| Credentials | PD |
| Telephone Number | 3182215114 |
NPI Number Detail
| NPI Number | 1619058468 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1822 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014612 |
| Phone Number | 3182215114 |
| Fax Number | 3182215137 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Pharmacy |
|---|---|
| Taxonomy | 3336N0007X |
| Licence No | LA 4001-NU |
|
Definition: A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
|
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 Nuclear Pharmacy, and the taxonomy code that classifies this field of practice is 3336N0007X.
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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