Organization
NORTH LOUISIANA PHARMACEUTICAL COMPANY INC
Active
Other names
Claiborne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BANNISTER (OWNER)
(318) 927-3523
Entity
Organization
Contact information
Practice address
833 W MAIN ST, HOMER, LA 71040-3322
(318) 927-3523
(318) 927-3526
Mailing address
PO BOX 729, BENTON, LA 71006-0729
(318) 927-3523
(318) 927-3526
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007234-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131555
PK
—
05
—
2200917
—
LA
Enumeration date
08/17/2011
Last updated
10/15/2021
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