Organization
MONROE MEDICAL CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY JONES (PHARMACIST OWNER)
(318) 322-0319
Entity
Organization
Contact information
Practice address
100 S 2ND ST, MONROE, LA 71201-8537
(318) 322-0319
Mailing address
100 S 2ND ST, MONROE, LA 71201-8537
(318) 322-0319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15546
LA
251G00000X
Community Based Hospice Care Agency
4928 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269654
—
LA
Enumeration date
12/08/2006
Last updated
02/15/2008
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