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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
257 FLORIDA AVE SE STE B DENHAM SPRINGS, LA 70726 US
Tel: 225-665-8606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336L0003X | Suppliers Pharmacy | LA | 5128-IR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2035170 | 01 | |
1270920 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin