Organization
SPECIALTY MEDICAL SUPPLY OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAIN A FOOTE (MANAGING PARTNER)
(318) 397-3800
Entity
Organization
Contact information
Practice address
3426 CYPRESS ST, WEST MONROE, LA 71291-7399
(318) 397-3800
(318) 397-3860
Mailing address
PO BOX 2574, WEST MONROE, LA 71294-2574
(318) 397-3800
(318) 397-3860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5232
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271446
—
LA
Enumeration date
03/20/2006
Last updated
08/22/2020
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