Healthcare Provider Details

I. General information

NPI: 1437086287
Provider Name (Legal Business Name): MONROE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 S 9TH ST
MONROE LA
71202-3526
US

IV. Provider business mailing address

1734 S 9TH ST
MONROE LA
71202-3526
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-6725
  • Fax: 318-387-6723
Mailing address:
  • Phone: 318-387-6725
  • Fax: 318-387-6723

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: THEOPHILE TSAFACK
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 318-237-9142