Healthcare Provider Details

I. General information

NPI: 1134013337
Provider Name (Legal Business Name): PROXSYS RX - LA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N ACADIA RD STE 29
THIBODAUX LA
70301-4823
US

IV. Provider business mailing address

320 S POLK ST STE 200
AMARILLO TX
79101-1436
US

V. Phone/Fax

Practice location:
  • Phone: 985-271-4087
  • Fax: 985-202-2103
Mailing address:
  • Phone: 806-242-7782
  • Fax: 806-324-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL WRIGHT
Title or Position: PRESIDENT PHARMACY SERVICES
Credential:
Phone: 806-242-7782