Organization
MAGNOLIA PHARMACY SERVICES LLC
Active
Other names
MAGNOLIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LOWERY (CHIEF PHARMACIST)
(318) 443-5810
Entity
Organization
Contact information
Practice address
26 HEYMAN LN, ALEXANDRIA, LA 71303-3523
(318) 443-5810
(318) 443-6133
Mailing address
PO BOX 11940, ALEXANDRIA, LA 71315-1940
(318) 443-5810
(318) 443-6133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4392IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267724
—
LA
01
—
2033509
PK
—
Enumeration date
09/20/2006
Last updated
06/13/2016
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