# MEDICAL CENTER PHARMACY OF MANY LA INC

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

## Provider details

- **NPI number:** 1275645129
- **Authorized official:** SCOTT GEWIN PHARMD (OWNER PRESIDENT)
- **Authorized official phone:** (318) 256-5658

## Contact information

- **Practice address:** 395 S CAPITOL ST, MANY, LA 71449-3049
- **Practice address phone:** (318) 256-5658
- **Practice address fax:** (318) 256-9599
- **Mailing address:** PO BOX 479, MANY, LA 71449-0479
- **Mailing address phone:** (318) 256-5658
- **Mailing address fax:** (318) 256-9599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.005210-IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/14/2016