# WILEYS PHARMACY & COMPOUNDING SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mason's Clinic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386950707
- **Authorized official:** JOSEPH WILEY (PRESIDENT)
- **Authorized official phone:** (318) 396-1812

## Contact information

- **Practice address:** 2933 CYPRESS ST STE 2, WEST MONROE, LA 71291-5337
- **Practice address phone:** (318) 396-1812
- **Practice address fax:** (318) 396-5602
- **Mailing address:** 2403 ARKANSAS RD, WEST MONROE, LA 71291-8611
- **Mailing address phone:** (318) 396-1812
- **Mailing address fax:** (318) 396-5602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY006288IR | LA | Yes |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 12/06/2010