Organization
RINGGOLD PHARMACY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BANNISTER (MANAGER)
(318) 927-3523
Entity
Organization
Contact information
Practice address
2431 MILITARY RD, RINGGOLD, LA 71068-2597
(318) 894-0278
(318) 894-0283
Mailing address
PO BOX 729, BENTON, LA 71006-0729
(318) 525-8165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY.008446-TDS
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
12/26/2019
Last updated
10/20/2022
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