Organization · Type 2 NPI
Line Avenue Pharmacy Inc
Nuclear Pharmacy · Shreveport, LA
NPI number
1619058468
Active
Practice location
1822 Line Ave
Shreveport, LA 71101-4612
Fax (318) 221-5137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | LA 3999-IR (LA) |
| Nuclear Pharmacy Primary | 3336N0007X | LA 4001-NU (LA) |
Nuclear Pharmacy: A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
Another provider at this address
Other nuclear pharmacy providers in Shreveport
About NPI 1619058468
Line Avenue Pharmacy Inc's National Provider Identifier is 1619058468, issued on Oct 18, 2006. The primary taxonomy on file is Nuclear Pharmacy (3336N0007X), and the practice location is in Shreveport, LA. The record was last updated on Sep 11, 2025.