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Organization
SCPG LOUISIANA LLC
Active
Organization
SCPG LOUISIANA LLC
Active
Other names
Express Rx of St. Joseph
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
705 PLANK RD, HIGHWAY 128, ST. JOSEPH, LA 71366
(318) 766-4563
(318) 766-4522
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4407
(501) 534-4459
(501) 534-4460
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
09/17/2019
Last updated
11/18/2025
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