Organization
MEDICAL CENTER PHARMACY OF MANY LA INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GEWIN PHARMD (OWNER PRESIDENT)
(318) 256-5658
Entity
Organization
Contact information
Practice address
395 S CAPITOL ST, MANY, LA 71449-3049
(318) 256-5658
(318) 256-9599
Mailing address
PO BOX 479, MANY, LA 71449-0479
(318) 256-5658
(318) 256-9599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005210-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271331
—
LA
01
—
2028299
PK
—
Enumeration date
08/31/2006
Last updated
04/14/2016
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