institution
Medic Pharmacy Of Bastrop
Customized Equipment (DME) in Bastrop, Louisiana
NPI 1205815800

Medic Pharmacy Of Bastrop is a Customized Equipment (DME) based in Bastrop, LA and is specialized in Customized Equipment. Medic Pharmacy Of Bastrop practices in Bastrop, LA. The NPI Number for Medic Pharmacy Of Bastrop is 1205815800 and holds a License No. 0304220001 (Louisiana).

The current practice location address for Medic Pharmacy Of Bastrop is 1821 N Washington St, Bastrop, LA and can be reached out via phone at 318-281-3291 and via fax at 318-281-3292. You can also correspond with Medic Pharmacy Of Bastrop through the mailing address at 1821 N WASHINGTON ST, BASTROP, LA - 71220-2441 (mailing address contact number: 318-281-3291).

Location: 1821 N Washington St, Bastrop, LA, 71220-2441
institution
Provider Profile Details
NPI Number
1205815800
Provider Name
Medic Pharmacy Of Bastrop
Credential
Provider Entity Type
Organization
Address
1821 N Washington St, Bastrop, LA, 71220-2441
Phone Number
318-281-3291
Fax Number
318-281-3292
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5068 01 LA BLUE CROSS BLUE SHIELD OF
1533611 05 LA
1903649 01 LA NAPB
institution
Provider Business Practice Location Address Details
Address
1821 N Washington St
City
State
Zip
71220-2441
Phone Number
318-281-3291
Fax Number
318-281-3292
person
Provider Business Mailing Address Details
Address
1821 N Washington St
City
State
Zip
71220-2441
Phone Number
318-281-3291
Fax Number
318-281-3292
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
0304220001 (Louisiana)
Definition
Definition to come...
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