Organization
REAGANS RX COMPOUNDING PHARMACY AND HOME CARE LLC
Active
Other names
Reagan's Rx Compounding Pharmacy & Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE REAGAN (OWNER/PHARMACIST)
(318) 382-7948
Entity
Organization
Contact information
Practice address
1118 HOMER RD STE G, MINDEN, LA 71055-3028
(318) 382-7948
(318) 382-4924
Mailing address
1118 HOMER RD STE G, MINDEN, LA 71055-3028
(318) 382-7948
(318) 382-4924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006248-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124910
PK
—
05
—
2200038
—
LA
Enumeration date
11/28/2009
Last updated
04/01/2016
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