# GARDINERS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GARDINERS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174635023
- **Authorized official:** GEORGE GARDINER RPH (PRES)
- **Authorized official phone:** (318) 352-4582

## Contact information

- **Practice address:** 1053 PARKWAY DR, NATCHITOCHES, LA 71457-6276
- **Practice address phone:** (318) 352-4582
- **Practice address fax:** (318) 357-0778
- **Mailing address:** 1053 PARKWAY DR, NATCHITOCHES, LA 71457-6276
- **Mailing address phone:** (318) 352-4582
- **Mailing address fax:** (318) 357-0778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY005982 | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 02/10/2011