Organization Name: | SPECIALTY MEDICAL SUPPLY OF LA |
NPI Number: | 1316915689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BAIN FOOTE (MANAGING PARTNER) |
Mailing Address: | 3426 Cypress St Suite 13 West Monroe |
State: | LA US |
Postal Code: | 712917319 |
Phone Number: | 3183973800 |
Fax Number: | 3183973860 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 2215507-001 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |