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NPI Code Detail

MEDICARE: CENTRAL REXALL DRUGS INC

MEDICARE: CENTRAL REXALL DRUGS 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
1332B00000XDurable Medical Equipment & Medical Supplies078776LA
23336C0003XCommunity/Retail Pharmacy078776LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11905732OTHERLANABP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639165491
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL REXALL DRUGS INC
Provider Business Mailing Address
First Line : PO BOX 1318
Second Line : 125 E THOMAS STREET
City : HAMMOND
State : LA
Zip : 70404-1318
Country : US
Telephone Number : 985-345-5120
Fax Number : 985-345-5178
Provider Business Practice Location Address
First Line : 125 E THOMAS ST
Second Line :
City : HAMMOND
State : LA
Zip : 70401-3313
Country : US
Telephone Number : 985-345-5120
Fax Number : 985-345-5178
Authorized Official
Title or Position : OWNERPHARMACIST
Name : DONALD K FELLOWS JR.
Credential : RPH
Telephone Number : 975-345-5120
Provider Enumeration Date : 09/26/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

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Practice Fax:

Directions to “CENTRAL REXALL DRUGS INC ” Practice Location

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