Organization
HEALTHSCRIPTS OF AMERICA-CENTRAL LOUISIANA LLC
Active
Other names
Spectra Family Pharmacy of Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN NEZAMI (CEO)
(832) 770-8194
Entity
Organization
Contact information
Practice address
100 WESTLAND PL, STE C, WEST MONROE, LA 71291-5446
(318) 741-7163
(318) 388-4679
Mailing address
1100 JACKSON ST, SUITE B, RICHMOND, TX 77469-3320
(832) 917-4931
(713) 599-3696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006920-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146949
PK
—
Enumeration date
12/26/2006
Last updated
11/04/2016
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