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Organization
MEDICAL CENTER PHARMACY OF MANY LA INC
Active
Organization
MEDICAL CENTER PHARMACY OF MANY LA INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GEWIN PHARMD (OWNER PRESIDENT)
(318) 256-5658
Entity
Organization
Contact information
Practice address
395 S CAPITOL ST, MANY, LA 71449-3049
(318) 256-5658
(318) 256-9599
Mailing address
PO BOX 479, MANY, LA 71449-0479
(318) 256-5658
(318) 256-9599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005210-IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271331
—
LA
01
—
2028299
PK
—
Enumeration date
08/31/2006
Last updated
04/14/2016
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