Organization
WEST CARROLL MEMORIAL HOSPITAL
Active
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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