Organization
COMMUNITY PHARMACY NO 1 INC
Active
Other names
COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONA CARTER (OWNER)
(225) 775-6337
Entity
Organization
Contact information
Practice address
9136 SCOTLAND AVE, BATON ROUGE, LA 70807-4246
(225) 775-6337
(225) 775-6323
Mailing address
PO BOX 176, BAKER, LA 70704-0176
(225) 775-6337
(225) 775-6323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2908IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261661
—
LA
01
—
1925366
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
05/19/2010
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