Healthcare Provider Details

I. General information

NPI: 1629172150
Provider Name (Legal Business Name): BILL SCOTT'S PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2826 BIENVILLE RD
RINGGOLD LA
71068-2588
US

IV. Provider business mailing address

2826 BIENVILLE RD
RINGGOLD LA
71068-2588
US

V. Phone/Fax

Practice location:
  • Phone: 318-894-9100
  • Fax: 318-894-3300
Mailing address:
  • Phone: 318-894-9100
  • Fax: 318-894-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberC000344
License Number StateLA

VIII. Authorized Official

Name: MR. LAWRENCE WILLIAM SCOTT
Title or Position: PHARMACIST/OWNER
Credential: PHARMACIST
Phone: 318-894-9100