Organization
GOUX PHARMACY LLC
Active
Other names
GOUX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KINMAN GOUX (PHRM OWNER)
(318) 240-9866
Entity
Organization
Contact information
Practice address
599 TUNICA DRIVE WEST, MARKSVILLE, LA 71351
(318) 240-9866
(318) 240-8849
Mailing address
599 TUNICA DR W, MARKSVILLE, LA 71351-2628
(318) 240-9866
(318) 240-8849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269255
—
LA
01
—
1930519
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2007
Last updated
06/25/2009
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