Masons' Pharmacy

LBN: Wiley'S Pharmacy & Compounding Services Inc
Masons' Pharmacy is an health care organization with primary practice located at 2403 Arkansas Rd , West Monroe LA 71291-8611. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Wiley'S Pharmacy & Compounding Services Inc can be contacted via phone (318) 396-1812, or through Copeland, Tracy via phone (318) 396-1812.

Contact Information

Primary practice address
2403 Arkansas Rd West Monroe LA 71291-8611
Fax: (318) 396-5602
Website:
Authorized official contact:
Name: Copeland, Tracy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY005903IR Louisiana

Profile Details

NPI number 1023386307
LBN Legal business name Wiley'S Pharmacy & Compounding Services Inc
DBA Doing business as Masons' Pharmacy
Authorized official Copeland, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 2011 - about 13 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 1023386307 NPPES
Louisiana MEDICAID 1217051
Louisiana Other 1935963

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