Organization
YANCEYS DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY SPICER PHARMD (OWNER PHARMACIST)
(318) 728-4195
Entity
Organization
Contact information
Practice address
103 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-4195
(318) 728-3215
Mailing address
PO BOX 120, RAYVILLE, LA 71269-0120
(318) 728-4195
(318) 728-3215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1244171
—
LA
Enumeration date
09/21/2005
Last updated
10/17/2019
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