Organization
NORTH LOUISIANA PHARMACEUTICAL COMPANY INC
Active
Other names
Claiborne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BANNISTER RPH (OWNER)
(318) 927-3523
Entity
Organization
Contact information
Practice address
833 W MAIN ST, HOMER, LA 71040-3322
(318) 927-3523
(318) 927-3526
Mailing address
833 W MAIN ST, HOMER, LA 71040-3322
(318) 927-3523
(318) 927-3526
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY.007234-IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007234-IR
LA
3336C0004X
Compounding Pharmacy
PHY.007234-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY.007234
LA. BOARD OF PHARACY PERMIT #
LA
Enumeration date
01/27/2016
Last updated
03/07/2023
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