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Contact Information

KEYSTONE PHARMACY SERVICES LLC
BROUSSARD ATHLETIC TRAINING CTR
NORTH STADIUM DRIVE
BATON ROUGE, LA70803-0001
 Phone: 225-578-0681
 Fax: 225-578-3924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KEYSTONE PHARMACY SERVICES LLC

NPI # 1538619614
LBN Legal business name KEYSTONE PHARMACY SERVICES LLC
Authorized official CHRIS JAFFURS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2016
Last updated 09/19/2025 - About 9 months ago
Identifiers
LA License # PHY.007379-IR
Other 2164516 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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