# COMMUNITY PHARMACY OF WINNSBORO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194245837
- **Authorized official:** MRS. KAYE WALLER (ACCOUNTING MANAGER)
- **Authorized official phone:** (318) 412-0349

## Contact information

- **Practice address:** 3326 FRONT ST STE D, WINNSBORO, LA 71295-6406
- **Practice address phone:** (318) 435-9681
- **Practice address fax:** (318) 435-9065
- **Mailing address:** PO BOX 1350, WINNSBORO, LA 71295-1350
- **Mailing address phone:** (318) 412-0349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.007500-IR | LA | Yes |

## Other

- **Enumeration date:** 06/23/2017
- **Last updated:** 06/23/2017