MEDICARE: WILEY'S PHARMACY & COMPOUNDING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336L0003X	Long Term Care Pharmacy	PHY005903IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1935963	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1023386307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILEY'S PHARMACY & COMPOUNDING SERVICES INC

Provider Business Mailing Address
First Line	:	2403 ARKANSAS RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-8611
Country	:	US
Telephone Number	:	318-396-1812
Fax Number	:	318-396-5602

Provider Business Practice Location Address
First Line	:	2403 ARKANSAS RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-8611
Country	:	US
Telephone Number	:	318-396-1812
Fax Number	:	318-396-5602

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TRACY COPELAND
Credential	:
Telephone Number	:	318-396-1812

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	12/01/2011

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1215940077 — MR. JAMES COLMAN PADGETT PT
Practice Location Address:

2409 ARKANSAS RD
WEST MONROE, LA
71291-8611

Practice Phone: 318-396-2044
Practice Fax: 318-396-2204

1154334902 — MR. TRACY CALHOUN BROOKS LOTR
Practice Location Address:

2409 ARKANSAS RD
WEST MONROE, LA
71291-8611

Practice Phone: 318-396-2044
Practice Fax: 318-396-2204

1598845604 — WILEYS PHARMACY AND COMPOUNDING SERVICE INC
Practice Location Address:

2403 ARKANSAS RD
WEST MONROE, LA
71291-8611

Practice Phone: 318-396-1812
Practice Fax: 318-396-5602

1508264599 — DR. MATTHEW LAY PHARM. D
Practice Location Address:

2403 ARKANSAS RD
WEST MONROE, LA
71291-8611

Practice Phone: 318-396-1812
Practice Fax:

1134768559 — DANA PERRY
Practice Location Address:

PO BOX 1111
WEST BEND, WI
53095-8611

Practice Phone: 414-698-0990
Practice Fax: 855-853-8249

Directions to “WILEY'S PHARMACY & COMPOUNDING SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.