Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Line Avenue Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1619058468

Line Avenue Pharmacy Inc is a Community/Retail Pharmacy in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1822 Line Ave
Shreveport, LA 71101-4612
Phone: (318) 221-5114
Fax: (318) 221-5137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Pharmacy (primary) Taxonomy 3336N0007X · Licence LA 4001-NU (LA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence LA 3999-IR (LA)

Record details

NPI number1619058468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Caudle — President/Owner · (318) 221-5114
Other names Shreveport Nuclear Pharmacy
NPI enumeratedOctober 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1822 Line Ave, Shreveport, LA 71101-4612

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