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General NPI Number Information
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NPI Number | 1508853540
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Entity Type | Organization
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Legal Business Name | HEALTHCARE PHARMACY LLC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8720 QUIMPER PL STE 300
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City | SHREVEPORT
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State | LA
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Zip | 71105-5742
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Country | US
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Telephone | 318-671-9603
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Fax | 318-671-1106
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Provider Business Mailing Address
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Address Line | 8720 QUIMPER PL STE 300
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City | SHREVEPORT
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State | LA
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Zip | 71105-5742
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Country | US
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Telephone | 318-671-9603
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Fax | 318-671-1106
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DOUGLAS EDWARD ROBICHAUX
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Credential | RPH
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Telephone | 318-671-9603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 7465-IR
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License Number State | LA
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