# RUSTON WELLNESS & COMPOUNDING PHARMACY

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

## Provider details

- **NPI number:** 1295166254
- **Authorized official:** MRS. LAUREN GOOD PHARM D (OWNER)
- **Authorized official phone:** (318) 255-8106

## Contact information

- **Practice address:** 109 N TRENTON ST \# 2, RUSTON, LA 71270-4321
- **Practice address phone:** (318) 255-8106
- **Practice address fax:** (318) 254-0461
- **Mailing address:** 109 N TRENTON ST STE 2, RUSTON, LA 71270-4373
- **Mailing address phone:** (318) 255-8106
- **Mailing address fax:** (318) 254-0461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 12/16/2021