Organization
SWLA CENTER FOR HEALTH SERVICES
Active
Other names
SWLA CENTER FOR HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMYA MOUTON (CREDENTIALING SPECIALIST)
(337) 769-9451
Entity
Organization
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 493-5141
(888) 915-2180
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 493-5144
(337) 944-9020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005697-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234435
—
LA
01
—
2035419
PK
—
Enumeration date
09/05/2006
Last updated
01/27/2026
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