MEDICARE: RIGHT VALUE PHARMACY OF CALHOUN

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	183500000X	Pharmacist	15527	LA

General Provider Information

NPI Number	:	1588710370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT VALUE PHARMACY OF CALHOUN

Provider Business Mailing Address
First Line	:	1009 HIGHWAY 80 EAST
Second Line	:
City	:	CALHOUN
State	:	LA
Zip	:	71225
Country	:	US
Telephone Number	:	318-644-3911
Fax Number	:	318-644-3933

Provider Business Practice Location Address
First Line	:	1009 HIGHWAY 80 EAST
Second Line	:
City	:	CALHOUN
State	:	LA
Zip	:	71225
Country	:	US
Telephone Number	:	318-644-3911
Fax Number	:	318-644-3933

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MICHAEL MOSS PROVOST
Credential	:	RPH
Telephone Number	:	318-680-3590

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/22/2020

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