Pharmacy 1920 LLC
NPI #1073402665 in Bastrop, Louisiana
Provider Information
- NPI Number
- 1073402665
- Entity Type
- Organization
- Organization Name
- Pharmacy 1920 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jun 30, 2025
Practice Location
Authorized Official
- Name
- MR. RAKTIM R BARUAH, N/A
- Title
- PRESIDENT
- Phone
- (318) 880-7622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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