# NORTH CADDO MEDICAL CENTER COMMUNITY RX

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417719972
- **Legal business name:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Authorized official:** DAVID JONES (CEO)
- **Authorized official phone:** (318) 375-4008

## Contact information

- **Practice address:** 5950 NORTH MARKET, SHREVEPORT, LA 71107
- **Practice address phone:** (318) 375-7200
- **Mailing address:** PO BOX 792, VIVIAN, LA 71082-0792

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 10/15/2024