Provider Demographics
NPI:1114686359
Name:LP PHARMACEUTICALS, LLC.
Entity Type:Organization
Organization Name:LP PHARMACEUTICALS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:GUIDRY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-873-7575
Mailing Address - Street 1:7515 CAMERON ST
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3312
Mailing Address - Country:US
Mailing Address - Phone:337-873-7575
Mailing Address - Fax:318-641-6237
Practice Address - Street 1:7515 CAMERON ST
Practice Address - Street 2:
Practice Address - City:DUSON
Practice Address - State:LA
Practice Address - Zip Code:70529-3312
Practice Address - Country:US
Practice Address - Phone:337-873-7575
Practice Address - Fax:318-641-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy