Organization
COMMUNITY PHARMACY OF WINNSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYE WALLER (ACCOUNTING MANAGER)
(318) 412-0349
Entity
Organization
Contact information
Practice address
3326 FRONT ST STE D, WINNSBORO, LA 71295-6406
(318) 435-9681
(318) 435-9065
Mailing address
PO BOX 1350, WINNSBORO, LA 71295-1350
(318) 412-0349
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007500-IR
LA
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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