MEDICARE: BILL SCOTT'S PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	C000344	LA

General Provider Information

NPI Number	:	1629172150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILL SCOTT'S PHARMACY, INC

Provider Business Mailing Address
First Line	:	2826 BIENVILLE RD
Second Line	:
City	:	RINGGOLD
State	:	LA
Zip	:	71068-2588
Country	:	US
Telephone Number	:	318-894-9100
Fax Number	:	318-894-3300

Provider Business Practice Location Address
First Line	:	2826 BIENVILLE RD
Second Line	:
City	:	RINGGOLD
State	:	LA
Zip	:	71068-2588
Country	:	US
Telephone Number	:	318-894-9100
Fax Number	:	318-894-3300

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MR. LAWRENCE WILLIAM SCOTT
Credential	:	PHARMACIST
Telephone Number	:	318-894-9100

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/22/2020

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