PHARMACY 1920 LLC

BASTROP, LA
NPI1073402665
Entity TypeOrganization
Authorized ContactRAKTIM R BARUAH
President
318-880-7622
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
PHARMACY 1920 LLC
107 E MADISON AVE
BASTROP, LA 71220-3823
Phone number: 318-281-2305
Mailing Address
PHARMACY 1920 LLC
PO BOX 860
BASTROP, LA 71221-0860
Phone number: 318-880-7622
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