National Provider Identifier Database

CENTRAMED RADIOPHARMACY LLC
Nuclear Pharmacy

A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.


Contact Information

CENTRAMED RADIOPHARMACY, LLC
348 DESIARD ST
SUITE C
MONROE, LA71201-7429
Phone: 318-323-3673
Fax:
Website:
Specialty Taxonomy Code
* Nuclear Pharmacy 3336N0007X

* Indicates primary specialty

NPI Profile & details for CENTRAMED RADIOPHARMACY, LLC

NPI Number 1528111838
Legal business name
LBN
CENTRAMED RADIOPHARMACY, LLC
Authorized official RUSSELL ROBERTS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 5695-NU

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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