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Northeast La Pharmacy
Long Term Care Pharmacy in Shreveport, Louisiana
NPI 1649218728

Northeast La Pharmacy is a Long Term Care Pharmacy based in Shreveport, LA and is specialized in Long Term Care Pharmacy. Northeast La Pharmacy practices in Shreveport, LA. The NPI Number for Northeast La Pharmacy is 1649218728 and holds a License No. PHY005546IR (Louisiana).

The current practice location address for Northeast La Pharmacy is 8860 Quimper Pl, Shreveport, LA and can be reached out via phone at 318-797-9517 and via fax at 318-212-0057.

Location: 8860 Quimper Pl, Shreveport, LA, 71105-5686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649218728
Provider Name
Northeast La Pharmacy
Credential
Provider Entity Type
Organization
Address
8860 Quimper Pl, Shreveport, LA, 71105-5686
Phone Number
318-797-9517
Fax Number
318-212-0057
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275221 05 LA
2034907 01 PK
institution
Provider Business Practice Location Address Details
Address
8860 Quimper Pl
City
Shreveport
State
Louisiana
Zip
71105-5686
Phone Number
318-797-9517
Fax Number
318-212-0057
person
Provider Business Mailing Address Details
Address
8860 Quimper Pl
City
Shreveport
State
Louisiana
Zip
71105-5686
Phone Number
318-797-9517
Fax Number
318-212-0057
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHY005546IR (Louisiana)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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