Provider Demographics
NPI:1790562973
Name:DRENNAN'S PHARMACY,LLC LTC
Entity Type:Organization
Organization Name:DRENNAN'S PHARMACY,LLC LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:318-397-9979
Mailing Address - Street 1:2601 N 7TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5166
Mailing Address - Country:US
Mailing Address - Phone:318-397-9979
Mailing Address - Fax:
Practice Address - Street 1:2601 N 7TH ST STE 500
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5166
Practice Address - Country:US
Practice Address - Phone:318-397-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRENNANS PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy