Organization
MEDCORE SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY MABILE RPH (OWNER/PHARMACIST)
(318) 932-3083
Entity
Organization
Contact information
Practice address
1435 E. CARROLL ST., SUITE B, COUSHATTA, LA 71019
(318) 932-8661
Mailing address
1435 E. CARROLL ST., SUITE B, COUSHATTA, LA 71019
(318) 932-8661
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
6118
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6118
LA BOARD OF PHARMACY PERMIT
LA
Enumeration date
05/27/2009
Last updated
05/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up