Healthcare Provider Details

I. General information

NPI: 1942474788
Provider Name (Legal Business Name): PRICE RIGHT PHARMACY OF CHOUDRANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3059 HIGHWAY 80 WEST
CALHOUN LA
71225-7907
US

IV. Provider business mailing address

PO BOX 608
CALHOUN LA
71225-0608
US

V. Phone/Fax

Practice location:
  • Phone: 318-644-0041
  • Fax: 318-644-0043
Mailing address:
  • Phone: 318-644-0041
  • Fax: 318-644-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY.005997-IR
License Number StateLA

VIII. Authorized Official

Name: SANDRA EZELL
Title or Position: OWNER
Credential:
Phone: 318-644-0041