Organization
GARDINERS PHARMACY INC
Active
Other names
GARDINERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GARDINER RPH (PRES)
(318) 352-4582
Entity
Organization
Contact information
Practice address
1053 PARKWAY DR, NATCHITOCHES, LA 71457-6276
(318) 352-4582
(318) 357-0778
Mailing address
1053 PARKWAY DR, NATCHITOCHES, LA 71457-6276
(318) 352-4582
(318) 357-0778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY005982
LA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212261
—
LA
01
—
1908257
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
02/10/2011
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