CHILDREN'S PHARMACY NPI 1225055304

NPI Information

CHILDREN'S PHARMACY is a clinic pharmacy pharmacy in Lake Charles, LA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. CHILDREN'S PHARMACY NPI is 1225055304. The provider is registered as an organization entity type.

The provider's business location address is:

2903 1ST AVE
LAKE CHARLES, LA
ZIP 70601-809
Phone: (337) 478-6480
Fax: (337) 474-9637

The provider's authorized official is Bruce Michael Thompson .
The authorized official title is President/ceo and has the following contact phone number (337) 478-6480.

The CLIA number assigned to this NPI record is 19D0461759 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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