Organization
PHARMACY SERVICES OF WINNFIELD INCORPORATED
Active
Other names
PHARMACY SERVICES OF WINNFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RALPH SHELTON DP (PHARMACIST-IN-CHARGE)
(318) 628-3575
Entity
Organization
Contact information
Practice address
100 W MAIN ST, WINNFIELD, LA 71483-3239
(318) 628-3575
(318) 628-3576
Mailing address
PO BOX 1437, WINNFIELD, LA 71483-1437
(318) 628-2905
(318) 628-3576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005357IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271900
—
LA
01
—
2032655
PK
—
Enumeration date
08/18/2006
Last updated
04/04/2022
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