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Organization
REEVES DRUG STORE INC
Active
Organization
REEVES DRUG STORE INC
Active
Other names
REEVES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY FARMER (PRESIDENT)
(318) 336-5112
Entity
Organization
Contact information
Practice address
307 CARTER ST, VIDALIA, LA 71373-3305
(318) 336-5112
(318) 336-9745
Mailing address
307 CARTER ST, VIDALIA, LA 71373-3396
(318) 336-5112
(318) 336-9745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.003525-IR
LA
Other
Enumeration date
11/01/2006
Last updated
09/19/2025
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