Organization
S & S PHARMACY ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFRED RAY SMITH PD (PRESIDENT)
(318) 325-8239
Entity
Organization
Contact information
Practice address
809 WINNSBORO RD, MONROE, LA 71202-3444
(318) 325-8239
(318) 340-0908
Mailing address
809 WINNSBORO RD, MONROE, LA 71202-3444
(318) 325-8239
(318) 340-0908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2073
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258890
—
LA
01
—
1915947
NABP
LA
Enumeration date
12/14/2006
Last updated
08/22/2020
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