Medsource Pharmacy Services

NPI 1073518643 - Pharmacy - 3336C0003X

NPI Details
NPI 1073518643
Enumeration Date 06/20/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LEO LEO
Position PIC
Phone (318) 487-1884
Fax (318) 487-1299
Practice Location
2223 WORLEY DR
ALEXANDRIA LA, 71301-3631, US
Phone (318) 487-1884
Fax (318) 487-1299
Business Location
2223 WORLEY DR
ALEXANDRIA LA, 71301-3631, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, Medsource Pharmacy Services NPI is 1073518643, taxonomy code is 3336C0003X Medsource Pharmacy Services physically located at 2223 Worley Dr, Alexandria LA, 71301-3631. NPI Number 1033115704 has the healthcare provider type.

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1073518643 NPI number is provided on an as is basis without warranty of any kind. 1073518643 is maintained by the National Plan & Provider Enumeration System. The contents of Medsource Pharmacy Services are for informational purposes only.