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Line Avenue Pharmacy Inc — NPI 1619058468, Shreveport, LA | NPI Central

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OrganizationActive

Line Avenue Pharmacy Inc

NPI 1619058468 · Nuclear Pharmacy · Shreveport, LA

Provider details

NPI number: 1619058468
Entity type: Organization
Primary specialty: Nuclear PharmacySuppliers
Authorized official: Stephen Caudle, President/Owner
License: LA 3999-IR (LA)

Practice location

1822 Line Ave

Shreveport, LA 71101-4612

Phone: (318) 221-5114

Fax: (318) 221-5137

More LA providers

Mailing address

1822 Line Ave

Shreveport, LA 71101-4612

Registry dates

Enumerated: 2006-10-18
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.