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LTC DISPENSARY LLC

Medical Equipment Supplier Yellow Pages

Denham Springs, Louisiana

Provider NPI: 1730190240

Organization Information:
Organization Name:  LTC DISPENSARY LLC


Practice Location:
257 FLORIDA AVE SE STE B DENHAM SPRINGS, LA 70726 US
Tel: 225-665-8606  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy
LA5128-IR

Other Provider Identifiers:

IssuerNumberStateType
PK203517001
1270920LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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