Phoenix Rexall Drugs INC
Pharmacy, Community/Retail Pharmacy in Leesville, LA. Organization (NPI-2).
NPI number1609986116
StatusActive
Last updated in NPPESSep 2, 2011
Details
- NPI
- 1609986116
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Rexall Drugs INC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Sep 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 891IR | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – |
Other names
- Phoenix Pharmacy (Doing Business As)
Practice location
101 N 3rd StLeesville, LA 71446-4013
Phone 337-239-3421 · Fax 337-392-6212
Mailing address
Po Box 172Leesville, LA 71496-0172
Phone 337-239-3421 · Fax 337-239-3422
Authorized official
Cynthia Wann
Manager
3372393421
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All 5 Community/Retail Pharmacy providers in Leesville · All 510 providers in Leesville
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