# SCPG LOUISIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Rx of St. Joseph
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518517994
- **Authorized official:** UMAR FAROOQ (PRESIDENT)
- **Authorized official phone:** (501) 392-8680

## Contact information

- **Practice address:** 705 PLANK RD, HIGHWAY 128, ST. JOSEPH, LA 71366
- **Practice address phone:** (318) 766-4563
- **Practice address fax:** (318) 766-4522
- **Mailing address:** PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4407
- **Mailing address phone:** (501) 534-4459
- **Mailing address fax:** (501) 534-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 11/18/2025