Provider Demographics
NPI:1417573593
Name:DOC YOUR DOSE PHARMACY, LLC
Entity Type:Organization
Organization Name:DOC YOUR DOSE PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:SEMIEN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:225-648-2329
Mailing Address - Street 1:17275 HWY 77
Mailing Address - Street 2:
Mailing Address - City:GROSS TETE
Mailing Address - State:LA
Mailing Address - Zip Code:70740
Mailing Address - Country:US
Mailing Address - Phone:225-648-2329
Mailing Address - Fax:225-648-2331
Practice Address - Street 1:17275 HWY 77
Practice Address - Street 2:
Practice Address - City:GROSS TETE
Practice Address - State:LA
Practice Address - Zip Code:70740
Practice Address - Country:US
Practice Address - Phone:225-648-2329
Practice Address - Fax:225-648-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy