| NPI | 1174625297 |
|---|---|
| Doing Business As | OMNICARE OF SHREVEPORT #48264 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 3319-IR) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-11-26 |