Organization
PRESCRIPTION SPECIALTIES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J. GIBSON R.PH. (OWNER)
(337) 562-7979
Entity
Organization
Contact information
Practice address
4070 NELSON RD, STE 200, LAKE CHARLES, LA 70605-2444
(337) 562-7979
(337) 562-2343
Mailing address
4070 NELSON RD, STE 200, LAKE CHARLES, LA 70605-2444
(337) 562-7979
(337) 562-2343
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4478-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268518
—
LA
Enumeration date
10/13/2006
Last updated
04/19/2010
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