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NPI Code Detail

MEDICARE: KAR PHARMACY SERVICES, LLC

MEDICARE: KAR PHARMACY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy006877-IRLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12146546OTHERPK

General Provider Information

NPI Number : 1891888236
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAR PHARMACY SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 116
Second Line :
City : MARINGOUIN
State : LA
Zip : 70757-0116
Country : US
Telephone Number : 225-625-2353
Fax Number : 225-625-3144
Provider Business Practice Location Address
First Line : 484 LOUISIANA AVE
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-2141
Country : US
Telephone Number : 225-344-1077
Fax Number : 225-344-4408
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : JUSTIN SOULIER
Credential :
Telephone Number : 225-485-1049
Provider Enumeration Date : 09/30/2006
Last Update Date : 10/29/2020

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Directions to “KAR PHARMACY SERVICES, LLC ” Practice Location

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