Healthcare Provider Details

I. General information

NPI: 1063526044
Provider Name (Legal Business Name): K & S DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 ADAMS ST
WINNSBORO LA
71295-2602
US

IV. Provider business mailing address

802 ADAMS ST
WINNSBORO LA
71295-2602
US

V. Phone/Fax

Practice location:
  • Phone: 318-435-7858
  • Fax: 318-435-7122
Mailing address:
  • Phone: 318-435-7858
  • Fax: 318-435-7122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY.006861-IR
License Number StateLA

VIII. Authorized Official

Name: RICHARD BALDWIN
Title or Position: PIC
Credential: RPH
Phone: 318-435-7858