Healthcare Provider Details

I. General information

NPI: 1588710370
Provider Name (Legal Business Name): RIGHT VALUE PHARMACY OF CALHOUN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 HIGHWAY 80 EAST
CALHOUN LA
71225
US

IV. Provider business mailing address

1009 HIGHWAY 80 EAST
CALHOUN LA
71225
US

V. Phone/Fax

Practice location:
  • Phone: 318-644-3911
  • Fax: 318-644-3933
Mailing address:
  • Phone: 318-644-3911
  • Fax: 318-644-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15527
License Number StateLA

VIII. Authorized Official

Name: MICHAEL MOSS PROVOST
Title or Position: PHARMACIST
Credential: RPH
Phone: 318-680-3590