Organization
THE BERNICE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH D JOHNSON (OFFICE MANAGER)
(318) 285-9521
Entity
Organization
Contact information
Practice address
417 MAIN ST, BERNICE, LA 71222-7122
(318) 285-9521
(318) 285-0185
Mailing address
PO BOX 636, BERNICE, LA 71222-0636
(318) 285-9521
(318) 285-0185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
007543
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904223
NCPDP
LA
01
—
1941182
NABPNCPDP
LA
05
—
2202090
—
LA
05
—
2206397
—
LA
Enumeration date
03/06/2018
Last updated
07/08/2024
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