Organization
TURNER REXALL PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
411 E MAIN ST, PO DRAWER 1003, OAK GROVE, LA 71263-1003
(318) 428-4205
(318) 428-4207
Mailing address
411 E MAIN ST, PO DRAWER 1003, OAK GROVE, LA 71263-1003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
C001141IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1222208
—
LA
01
—
1912636
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/06/2006
Last updated
03/07/2023
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