MEDICARE: PINNACLE HEALTH RESOURCES LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1083562185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH RESOURCES LLC

Provider Business Mailing Address
First Line	:	101 CROSLEY ST STE 1
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-2913
Country	:	US
Telephone Number	:	318-325-1119
Fax Number	:	318-325-1122

Provider Business Practice Location Address
First Line	:	101 CROSLEY ST STE 1
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-2913
Country	:	US
Telephone Number	:	318-325-1119
Fax Number	:	318-325-1122

Authorized Official
Title or Position	:	COO
Name	:	MR. RUSTY CHAMBLESS
Credential	:
Telephone Number	:	318-325-1092

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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