Organization
AINSWORTH PHARMACY GROUP LLC
Active
Other names
Pearce Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EUGENE AINSWORTH PHARMD (OWNER)
(318) 281-1537
Entity
Organization
Contact information
Practice address
604 S WASHINGTON ST, BASTROP, LA 71220-5035
(318) 281-1537
(318) 281-7497
Mailing address
604 S WASHINGTON ST, BASTROP, LA 71220-5035
(318) 281-1537
(318) 281-7497
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1256501
—
LA
01
—
2032132
PK
—
Enumeration date
08/18/2006
Last updated
03/20/2023
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