Organization · Type 2 NPI

Fred's Pharmacy #3958

Pharmacist · Lake Providence, LA

NPI number 1043688658 Active

Practice location

303 N Hood St
Lake Providence, LA 71254-2141

Fax (318) 559-2437

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPST.018472 (LA)
Pharmacist 183500000XE-010467 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

About NPI 1043688658

Fred's Pharmacy #3958's National Provider Identifier is 1043688658, issued on Sep 14, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Providence, LA. The record was last updated on Sep 14, 2015.