Healthcare Provider Details

I. General information

NPI: 1437229077
Provider Name (Legal Business Name): DUSON RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9021 CAMERON ST.
DUSON LA
70529
US

IV. Provider business mailing address

9021 CAMERON ST
DUSON LA
70529
US

V. Phone/Fax

Practice location:
  • Phone: 337-873-6182
  • Fax: 337-334-9899
Mailing address:
  • Phone: 337-873-6182
  • Fax: 337-873-7629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number4959-IR
License Number StateLA

VIII. Authorized Official

Name: MR. RAPHAEL J MECHE
Title or Position: OWNER
Credential:
Phone: 337-873-6182