Children's Pharmacy

NPI 1184019846 - Pharmacy - 333600000X

NPI Details
NPI 1184019846
Enumeration Date 03/31/2015
Last Updated 03/31/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHUCK K. CHUCK
Position ADMINISTRATOR
Phone (337) 502-4873
Fax
Practice Location
4111 LAKE ST
LAKE CHARLES LA, 70605-4305, US
Phone (337) 502-4873
Fax
Business Location
4111 LAKE ST
LAKE CHARLES LA, 70605-4305, US
Phone (337) 502-4873
Fax
Toxanomy
Taxonomy Code 333600000X
License State Louisiana
License Number PHY-007098-IR
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According to our database, Children's Pharmacy NPI is 1184019846, taxonomy code is 333600000X and license number is PHY-007098-IR, license state is located at Louisiana. Children's Pharmacy physically located at 4111 Lake St, Lake Charles LA, 70605-4305. NPI Number 1033115704 has the healthcare provider type.

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1184019846 NPI number is provided on an as is basis without warranty of any kind. 1184019846 is maintained by the National Plan & Provider Enumeration System. The contents of Children's Pharmacy are for informational purposes only.