Healthcare Provider Details

I. General information

NPI: 1043361025
Provider Name (Legal Business Name): MORGAN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 FOURTH ST
JONESVILLE LA
71343-2002
US

IV. Provider business mailing address

1806 FOURTH ST
JONESVILLE LA
71343-2002
US

V. Phone/Fax

Practice location:
  • Phone: 318-339-8532
  • Fax: 318-339-8534
Mailing address:
  • Phone: 318-339-8532
  • Fax: 318-339-8534

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 Number002647
License Number StateLA

VIII. Authorized Official

Name: JOHN MORGAN
Title or Position: OWNER AND MNGR
Credential:
Phone: 318-339-8532