Organization
PHARMACY SERVICES OF WINNFIELD INC
Active
Other names
Pharmacy Services of Winnfield Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RALPH SHELTON (PRESIDENT)
(318) 628-3536
Entity
Organization
Contact information
Practice address
100 MAIN STREET, WINNFIELD, LA 71483
(318) 628-3536
(318) 628-3576
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5357-IR
LA
332BC3200X
Customized Equipment (DME)
5357-IR
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5357-IR
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
5357-IR
LA
333600000X
Pharmacy
5357-IR
LA
3336C0003X
Community/Retail Pharmacy
5357-IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
5357-IR
LA
3336L0003X
Long Term Care Pharmacy
5357-IR
LA
3336M0002X
Mail Order Pharmacy
5357-IR
LA
3336S0011X
Specialty Pharmacy
5357-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261947
—
LA
05
—
1271900
—
LA
01
—
1924453
NABP
—
01
—
7212212630
BCBS DME
LA
Enumeration date
12/12/2006
Last updated
01/22/2008
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