NPI 1073402665
Pharmacy 1920 LLC
Practice location
- Address
- 107 E Madison Ave, Bastrop, LA 71220-3823
- Phone
- (318) 281-2305
- Fax
- (318) 283-2033
- Mailing address
- PO Box 860, Bastrop, LA 71221-0860
Authorised official
- Name
- Raktim R Baruah
- Title
- President
- Phone
- (318) 880-7622
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1073402665
- Entity type
- Organization
- NPI issued
- 30 Jun 2025
- Record last updated
- 30 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.