Organization
RUSTON WELLNESS & COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN GOOD PHARM D (OWNER)
(318) 255-8106
Entity
Organization
Contact information
Practice address
109 N TRENTON ST # 2, RUSTON, LA 71270-4321
(318) 255-8106
(318) 254-0461
Mailing address
109 N TRENTON ST STE 2, RUSTON, LA 71270-4373
(318) 255-8106
(318) 254-0461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
12/02/2013
Last updated
12/16/2021
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