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Organization

WEST CARROLL MEMORIAL HOSPITAL

Active
Other names
WEST CARROLL HOSPITAL OUTPATIENT
Organization subpart
No

Provider details

NPI number
Authorized official
KELLI SCIARA RPH (AUTH REP PHARM DIRECTOR)
(318) 428-6252
Entity
Organization

Contact information

Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6155
(318) 428-6172
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6155
(318) 428-6172

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5244-IR
LA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112673407
AR
05
1272019
LA
01
1925758
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
03/25/2006
Last updated
12/12/2023
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