Provider Demographics
NPI:1700557667
Name:LALTC PHARMACY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LALTC PHARMACY SOLUTIONS, LLC
Other - Org Name:LALTC PHARMACY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-659-1373
Mailing Address - Street 1:160 ALLEN ST STE 500
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7065
Mailing Address - Country:US
Mailing Address - Phone:833-334-0004
Mailing Address - Fax:866-415-7005
Practice Address - Street 1:4628 HIGHWAY 28 E
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-7733
Practice Address - Country:US
Practice Address - Phone:833-334-0004
Practice Address - Fax:866-415-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy