Organization
MEDRX INC
Active
Other names
Medic Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL DUCK (OWNER/PRESIDENT)
(318) 218-8564
Entity
Organization
Contact information
Practice address
1847 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 212-0614
(318) 212-0616
Mailing address
406 N ARKANSAS ST, SPRINGHILL, LA 71075-2602
(318) 212-0614
(318) 212-0616
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200054
—
LA
Enumeration date
02/24/2010
Last updated
07/10/2025
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