Organization
SPECIALTY MEDICAL SUPPLY OF LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAIN FOOTE (MANAGING PARTNER)
(318) 397-3800
Entity
Organization
Contact information
Practice address
3426 CYPRESS ST, SUITE 13, WEST MONROE, LA 71291-7319
(318) 397-3800
(318) 397-3860
Mailing address
3426 CYPRESS ST, SUITE 13, WEST MONROE, LA 71291-7319
(318) 397-3800
(318) 397-3860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2215507-001
LA
333600000X
Pharmacy
2215507-001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271446
—
LA
Enumeration date
03/10/2006
Last updated
09/11/2025
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