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Line Avenue Pharmacy Inc
Nuclear Pharmacy in Shreveport, Louisiana
NPI 1619058468

Line Avenue Pharmacy Inc is a Nuclear Pharmacy based in Shreveport, LA and is specialized in Nuclear Pharmacy. Line Avenue Pharmacy Inc practices in Shreveport, LA. The NPI Number for Line Avenue Pharmacy Inc is 1619058468 and holds a License No. LA 3999-IR (Louisiana).

The current practice location address for Line Avenue Pharmacy Inc is 1822 Line Ave, Shreveport, LA and can be reached out via phone at 318-221-5114 and via fax at 318-221-5137. You can also correspond with Line Avenue Pharmacy Inc through the mailing address at 1822 LINE AVE, SHREVEPORT, LA - 71101-4612 (mailing address contact number: 318-221-5114).

Location: 1822 Line Ave, Shreveport, LA, 71101-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619058468
Provider Name
Line Avenue Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
1822 Line Ave, Shreveport, LA, 71101-4612
Phone Number
318-221-5114
Fax Number
318-221-5137
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1266841 05 LA
institution
Provider Business Practice Location Address Details
Address
1822 Line Ave
City
Shreveport
State
Louisiana
Zip
71101-4612
Phone Number
318-221-5114
Fax Number
318-221-5137
person
Provider Business Mailing Address Details
Address
1822 Line Ave
City
Shreveport
State
Louisiana
Zip
71101-4612
Phone Number
318-221-5114
Fax Number
318-221-5137
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
LA 4001-NU (Louisiana)
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Nuclear Pharmacy
Taxonomy
3336N0007X
License No.
LA 3999-IR (Louisiana)
Definition
A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
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