Healthcare Provider Details

I. General information

NPI: 1831750470
Provider Name (Legal Business Name): LAPHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 S CLEARVIEW PKWY
JEFFERSON LA
70121-3119
US

IV. Provider business mailing address

839 S CLEARVIEW PKWY
JEFFERSON LA
70121-3119
US

V. Phone/Fax

Practice location:
  • Phone: 504-581-8876
  • Fax: 504-581-8873
Mailing address:
  • Phone: 504-581-8876
  • Fax: 504-581-8873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STACEY PAUL LABORDE
Title or Position: OWNER
Credential: PHARMD
Phone: 504-581-8876