Organization
MEDSOURCE PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO RICHE RPH (PIC)
(318) 487-1884
Entity
Organization
Contact information
Practice address
2223 WORLEY DR, ALEXANDRIA, LA 71301-3631
(318) 487-1884
(318) 487-1299
Mailing address
2223 WORLEY DR, ALEXANDRIA, LA 71301-3631
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14961
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270750
—
LA
01
—
1931016
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2005
Last updated
09/11/2025
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