MEDICARE: DUSON RX, 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	333600000X	Pharmacy	4959-IR	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

General Provider Information

NPI Number	:	1437229077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUSON RX, INC.

Provider Business Mailing Address
First Line	:	9021 CAMERON ST
Second Line	:
City	:	DUSON
State	:	LA
Zip	:	70529
Country	:	US
Telephone Number	:	337-873-6182
Fax Number	:	337-873-7629

Provider Business Practice Location Address
First Line	:	9021 CAMERON ST.
Second Line	:
City	:	DUSON
State	:	LA
Zip	:	70529
Country	:	US
Telephone Number	:	337-873-6182
Fax Number	:	337-334-9899

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAPHAEL J MECHE
Credential	:
Telephone Number	:	337-873-6182

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	08/22/2020

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Directions to “DUSON RX, INC. ” Practice Location

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