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NPI Code Detail

MEDICARE: CRX SPECIALTY SOLUTION PHARMACY, LLC

MEDICARE: CRX SPECIALTY SOLUTION PHARMACY, 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
13336S0011XSpecialty Pharmacy
23336M0002XMail Order Pharmacy
3333600000XPharmacy
43336C0003XCommunity/Retail PharmacyPHY.007399-IRLA

General Provider Information

NPI Number : 1336141381
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRX SPECIALTY SOLUTION PHARMACY, LLC
Provider Business Mailing Address
First Line : 407 BIENVILLE ST
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-5702
Country : US
Telephone Number : 877-646-1716
Fax Number : 901-613-0605
Provider Business Practice Location Address
First Line : 407 BIENVILLE ST
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-5702
Country : US
Telephone Number : 877-646-1716
Fax Number : 901-613-0605
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : STEVEN M COBB
Credential :
Telephone Number : 877-646-1716
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/26/2025

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