Organization
MEDICINE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
4730 JACKSON, ALEXANDRIA, LA 71303-2000
(318) 448-2445
(318) 448-9626
Mailing address
4730 JACKSON, ALEXANDRIA, LA 71303-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
3816IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1927675
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/05/2006
Last updated
09/11/2025
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