Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Moss Memorial Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8273
(337) 480-8316
Mailing address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8273
(337) 480-8316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006714-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141145
PK
—
05
—
2204670
—
LA
Enumeration date
01/16/2007
Last updated
12/04/2023
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