# MEDICINE SHOPPE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639271059
- **Authorized official:** SUSAN GUINN (BILLING SPEC)
- **Authorized official phone:** (314) 993-6000

## Contact information

- **Practice address:** 4730 JACKSON, ALEXANDRIA, LA 71303-2000
- **Practice address phone:** (318) 448-2445
- **Practice address fax:** (318) 448-9626
- **Mailing address:** 4730 JACKSON, ALEXANDRIA, LA 71303-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3816IR | LA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 09/11/2025