Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED'S PHARMACY #3958
Active OrganizationFRED'S PHARMACY #3958 is a Pharmacist organization located in LAKE PROVIDENCE, Louisiana. NPI 1043688658 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LAKE PROVIDENCE, LA
Registration Details
- NPI Number
- 1043688658
- Provider Type
- Organization
- NPI Issued
- Sep 14, 2015 (10.909977637787 yrs)
- Last Updated
- Sep 14, 2015
- Licenses
-
E-010467 (MS)PST.018472 (LA)
Practice Information
- Address
-
303 N HOOD STLAKE PROVIDENCE, LA, 712542141Browse LA providers · Browse ZIP 71254
- Phone
- 3185592433
- Fax
- 3185592437
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.