NPI 1396290060

New Tech

Organisation Non-Pharmacy Dispensing Site Shreveport, LA

Practice location

Address: 410 Kay Ln, Shreveport, LA 71115-3604
Phone: (800) 710-9348

Authorised official

Name: Trent Jackson
Title: Director of Alternate Care
Phone: (800) 710-9348

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1396290060
Entity type: Organization
NPI issued: 23 Aug 2016
Record last updated: 23 Aug 2016

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.