LINE AVENUE PHARMACY INC
Suppliers at Line Ave, Shreveport, LA

License number
Louisiana LA 3999-IR
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Louisiana LA 4001-NU
Category
Suppliers
Type
Nuclear Pharmacy
Owner
Name: STEPHEN RANDALL CAUDLE PD
Title: PRESIDENT/OWNER
Phone: (318) 221-5114
Address
Address
1822 Line Ave, Shreveport, LA 71101
National Provider ID: 1619058468
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LINE AVENUE PHARMACY INC at bizstanding.com

Line Avenue Pharmacy Inc

1822 Line Ave, Shreveport, LA 71101

Industry:
Ret Drugs/Sundries
Doing business as:
Shreveport Nuclear Pharmacies<br>Shreveport Nuclear Pharmacy
Registration:
Jan 1, 1979
Site:
custom-pharmacy.com
Phone:
(318) 221-5114 (Phone)
State ID:
32632470D
Business type:
Business Corporation
Pharmacists:
Stephen R. Caudle (Owner, President),Susan Caudle (Owner, Pharmacist, Secretary/Tres.),Andrew Lane (Pharmacist),...
SIC:
8611 - Business Associations
Categories:
Pharmacies, Skin Care Suppliers, Hosiery Retailers

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