Healthcare Provider Details

I. General information

NPI: 1720545171
Provider Name (Legal Business Name): PTG2, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6251 PERKINS RD STE C
BATON ROUGE LA
70808-4167
US

IV. Provider business mailing address

6251 PERKINS RD STE C
BATON ROUGE LA
70808-4167
US

V. Phone/Fax

Practice location:
  • Phone: 225-389-6251
  • Fax: 225-389-6277
Mailing address:
  • Phone: 225-389-6251
  • Fax: 225-389-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. TOMMY JOE WOODARD JR.
Title or Position: OWNER
Credential: PHARMD
Phone: 225-241-7563