Organization
SPATS REXALL DRUGS INC
Active
Other names
SPATS REXALL DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COOPER RPH (OWNER/PRES)
(318) 323-0371
Entity
Organization
Contact information
Practice address
2221 JUSTICE ST, MONROE, LA 71201-3619
(318) 323-0371
(318) 388-4432
Mailing address
2221 JUSTICE ST, MONROE, LA 71201-3619
(318) 323-0371
(318) 388-4432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002394-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259462
—
LA
01
—
2028995
PK
—
Enumeration date
02/09/2007
Last updated
07/22/2016
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