# TOM'S EXPRESS DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Toms Express Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285970475
- **Authorized official:** MR. MATTHEW J. BAUMGARTNER CPA, J.D. (MEMBER/OWNER)
- **Authorized official phone:** (407) 354-5365

## Contact information

- **Practice address:** 403 SPENCER ST, RAYVILLE, LA 71269-2932
- **Practice address phone:** (318) 728-3353
- **Practice address fax:** (318) 728-0703
- **Mailing address:** 403 SPENCER ST, RAYVILLE, LA 71269-2932
- **Mailing address phone:** (318) 728-3353
- **Mailing address fax:** (318) 728-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | LA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 12/17/2012