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Organization

RED RIVER PHARMACY CONSULTING, LLC

Active
Other names
HEADRICK'S DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHOMICHAEL STEPHENS PHARMD (OWNER)
(318) 697-4381
Entity
Organization

Contact information

Practice address
204 MAIN ST, LOGANSPORT, LA 71049-2997
(318) 697-4381
(318) 697-5311
Mailing address
PO BOX 68, LOGANSPORT, LA 71049-0068
(318) 697-4381
(318) 697-5311

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2209353
LA
Enumeration date
01/25/2023
Last updated
01/25/2023
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