NDD LLC
Organization Active NPI Community/Retail Pharmacy · Stonewall, LA
NPI 1255732012 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1255732012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY.006948-IR (LA)
- Legal business name
- NDD LLC
- Practice address
- 316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838 - Phone
- (318) 775-4371
- Fax
- (318) 775-4369
- NPI assigned
- Sep 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Amanda Dominguez
- Title
- Owner
- Phone
- (318) 775-4371
Practitioners 2
-
Amanda Sims Dominguez, PHARM D.
-
Molly B Lee, PHARMD.
National Provider Directory
Locations
316 Plantation Hills Blvd
#A
Stonewall, LA 71078
Phone (318) 775-4371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY.006948-IR | LA | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838
Mailing address
316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838
Phone (318) 775-4371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147912 | Other | PK | |
| 2203061 | Medicaid | LA |
Other names
- North Desoto Drug
Other providers in Stonewall, LA
- Michael Johnston LLC
- Detries R Morris
- Debra Moton
- Christy Murphy
- Yolanda Murphy
- Emily Christine Neal
- Audrey Noble
- Panakeia Health Services, L.L.C.
- Kassidy Ann Parker
- Pathways of Care LLC
All providers in Stonewall, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.