CENTRAMED RADIOPHARMACY, LLC; NPI #1528111838

Contact Information

CENTRAMED RADIOPHARMACY, LLC

348 DESIARD ST
SUITE C
MONROE, LA 71201-7429

Phone: 318-323-3673
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nuclear Pharmacy	3336N0007X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CENTRAMED RADIOPHARMACY, LLC

NPI # 1528111838

LBN Legal business name CENTRAMED RADIOPHARMACY, LLC

Authorized official RUSSELL ROBERTS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/19/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

5695-NU

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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