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Organization
MEDIC PHARMACY OF BASTROP INC
Active
Organization
MEDIC PHARMACY OF BASTROP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GARY GRAYSON R.PH. (OWNER)
(318) 665-4414
Entity
Organization
Contact information
Practice address
601 HIGHWAY 2, STERLINGTON, LA 71280-3002
(318) 665-4414
(318) 665-0770
Mailing address
601 HIGHWAY 2, STERLINGTON, LA 71280-3002
(318) 665-4414
(318) 665-0770
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4116IR
LA
Other
Enumeration date
12/06/2006
Last updated
02/12/2014
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