Organization
ELIZABETH WRIGHT
Active
Other names
WHIT'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WRIGHT (OWNER)
(318) 281-2305
Entity
Organization
Contact information
Practice address
107 E MADISON AVE, BASTROP, LA 71220-3823
(318) 281-2305
(318) 283-2033
Mailing address
107 E MADISON AVE, BASTROP, LA 71220-3823
(318) 281-2305
(318) 283-2033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007156-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153098
PK
—
Enumeration date
07/20/2015
Last updated
07/21/2022
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