Organization
DIXIE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL H REITZELL JR. RPH (CHEIF PHARMACIST)
(318) 627-5428
Entity
Organization
Contact information
Practice address
615 8TH ST, COLFAX, LA 71417-1414
(318) 627-5428
(318) 627-4187
Mailing address
615 8TH ST, COLFAX, LA 71417-1414
(318) 627-5428
(318) 627-4187
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR3413856
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212903
—
LA
01
—
1904691
NCPDP
LA
Enumeration date
06/16/2005
Last updated
03/07/2023
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