Medic Pharmacy Of Bastrop

LBN: Medic Pharmacy Of Bastrop
Medic Pharmacy Of Bastrop is an health care organization with primary practice located at 1821 N Washington St , Bastrop LA 71220-2441. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Medic Pharmacy Of Bastrop can be contacted via phone (318) 281-3291, or through Grayson, William Gary via phone (318) 281-3291.

Contact Information

Primary practice address
1821 N Washington St Bastrop LA 71220-2441
Phone: (318) 281-3291
Fax: (318) 281-3292
Website:
Map and Directions
Authorized official contact:
Name: Grayson, William Gary RPH
Phone: (318) 281-3291

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 0304220001 Louisiana

Profile Details

NPI number 1205815800
LBN Legal business name Medic Pharmacy Of Bastrop
DBA Doing business as
Authorized official Grayson, William Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205815800 NPPES
Louisiana Other C5068 BLUE CROSS BLUE SHIELD OF
Louisiana MEDICAID 1533611 BLUE CROSS BLUE SHIELD OF
Louisiana Other 1903649 BLUE CROSS BLUE SHIELD OF

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