Organization
MEDI-SCRIPT INC
Active
Other names
Walker Brother's Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY SURMICK (OWNER)
(318) 326-4759
Entity
Organization
Contact information
Practice address
200 E PALMETTO AVE, PLAIN DEALING, LA 71064-4258
(318) 326-4759
(318) 326-7383
Mailing address
PO BOX 216, PLAIN DEALING, LA 71064-0216
(318) 326-4759
(318) 326-7383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007540-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1242705
—
LA
Enumeration date
03/23/2018
Last updated
03/23/2018
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