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David Raines Community Health Center Inc
Managed Care Organization Pharmacy in Shreveport, Louisiana
NPI 1861415721

David Raines Community Health Center Inc is a Managed Care Organization Pharmacy based in Shreveport, LA and is specialized in Managed Care Organization Pharmacy. David Raines Community Health Center Inc practices in Shreveport, LA. The NPI Number for David Raines Community Health Center Inc is 1861415721 and holds a License No. (Louisiana).

The current practice location address for David Raines Community Health Center Inc is 1625 David Raines Rd, Shreveport, LA and can be reached out via phone at 318-227-3355 and via fax at 318-227-3356.

Location: 1625 David Raines Rd, Shreveport, LA, 71107-5899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861415721
Provider Name
David Raines Community Health Center Inc
Credential
Provider Entity Type
Organization
Address
1625 David Raines Rd, Shreveport, LA, 71107-5899
Phone Number
318-227-3355
Fax Number
318-227-3356
Provider Enumeration Date
07/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1233358 05 LA
2035347 01 PK
institution
Provider Business Practice Location Address Details
Address
1625 David Raines Rd
City
Shreveport
State
Louisiana
Zip
71107-5899
Phone Number
318-227-3355
Fax Number
318-227-3356
person
Provider Business Mailing Address Details
Address
1625 David Raines Rd
City
Shreveport
State
Louisiana
Zip
71107-5899
Phone Number
318-227-3355
Fax Number
318-227-3356
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PHY.005457-IR (Louisiana)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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