Line Avenue Pharmacy Inc
Nuclear Pharmacy
1822 Line Ave, Shreveport
Louisiana, 71101-4612
318-221-5114 318-221-5137
Line Avenue Pharmacy Inc is a Nuclear Pharmacy in Shreveport, Louisiana. It is located at 1822 Line Ave, Shreveport and it's customer support contact number is 318-221-5114. The authorized person of Line Avenue Pharmacy Inc is Stephen Randall Caudle, PD who is President/owner of the pharmacy and his contact number is 318-221-5114. Active license number of Line Avenue Pharmacy Inc is LA 4001-NU for Nuclear Pharmacy in Louisiana.
Line Avenue Pharmacy Inc is a pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
Pharmacy Details:
Line Avenue Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Line Avenue Pharmacy Inc |
| Type: | Nuclear Pharmacy |
| Location: | 1822 Line Ave, Shreveport,
Louisiana, 71101-4612 |
| Phone: | 318-221-5114 |
| Fax: | 318-221-5137 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Stephen Randall Caudle |
| Credentials: | PD |
| Position: | President/owner |
| Contact Number: | 318-221-5114 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1619058468 |
| NPI Enumeration Date: | 18 Oct, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Line Avenue Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Nuclear Pharmacy | LA 4001-NU | Louisiana | Primary | |
| Community/Retail Pharmacy | LA 3999-IR | Louisiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1266841 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1822 Line Ave,
Shreveport, Louisiana |
| Zip: | 71101-4612 |
| Phone Number: | 318-221-5114 |
| Fax Number: | 318-221-5137 |
Patients can reach Line Avenue Pharmacy Inc at
1822 Line Ave, Shreveport, Louisiana or can
call on customer care at 318-221-5114.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.