Organization
COMMUNITY RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JONES (CEO)
(318) 375-4008
Entity
Organization
Contact information
Practice address
1003 S SPRUCE ST, VIVIAN, LA 71082-3200
(318) 375-3180
(318) 731-3035
Mailing address
PO BOX 792, VIVIAN, LA 71082-0792
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3912708
—
LA
Enumeration date
10/07/2021
Last updated
06/30/2025
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