Organization · NPI-2
180 Family Services LLC
Pharmacy, Community/Retail Pharmacy · Baton Rouge, LA
NPI number1609495324
StatusActive
Last updated in NPPESDec 15, 2024
Details
- NPI
- 1609495324
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Family Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Dec 15, 2024
- Last updated
- Dec 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Island Drug And Wellness (Doing Business As)
Practice location
9418 Brookline Ave Ste CBaton Rouge, LA 70809-1428
Phone 225-390-6963 · Fax 225-650-7414
Mailing address
9418 Brookline Ave Ste CBaton Rouge, LA 70809-1428
Phone 225-249-0079
Other practice locations
311 Chisum St
Sicily Island, LA 71368-4807
Sicily Island, LA 71368-4807
Phone 225-249-0079
Authorized official
Rod Royal
Director Of Operations
2252490079
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