Shreveport Nuclear Pharmacy is not a DME supplier for medicare equipments and products.
Shreveport Nuclear Pharmacy is a Nuclear Pharmacy in Shreveport, Louisiana. This pharmacy is owned and operated by Line Avenue Pharmacy Inc. It is located at 1822 Line Ave, Shreveport and it's customer support contact number is 318-221-5114. The authorized person of Shreveport Nuclear Pharmacy is Stephen Randall Caudle, PD who is President/owner of the pharmacy and his contact number is 318-221-5114. Active license number of Shreveport Nuclear Pharmacy is LA 4001-NU for Nuclear Pharmacy in Louisiana. Shreveport Nuclear Pharmacy is a pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
Pharmacy Details:
Shreveport Nuclear Pharmacy 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:
Shreveport Nuclear Pharmacy
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:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shreveport Nuclear Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Nuclear Pharmacy
LA 4001-NU
Louisiana
Primary
Community/Retail Pharmacy
LA 3999-IR
Louisiana
Secondary
Nuclear Pharmacy
LA 4001-NU
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 Shreveport Nuclear Pharmacy at 1822 Line Ave, Shreveport, Louisiana or can call on customer care at 318-221-5114.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Shreveport, Louisiana
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