Organization
SPECIALTY PHARMACY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR WARREN WALKER RPH (OWNER/SEC-TREAS/RPH)
(318) 281-6660
Entity
Organization
Contact information
Practice address
1821 N WASHINGTON ST, BASTROP, LA 71220-2441
(318) 281-6660
(318) 281-3292
Mailing address
1821 N WASHINGTON ST, BASTROP, LA 71220-2441
(318) 281-6660
(318) 281-3292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3823-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263494
—
LA
01
—
1926851
NAPB
LA
01
—
B9207
LA BLUE CROSS B/S
LA
Enumeration date
01/11/2006
Last updated
08/22/2020
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