Medicine Shoppe

LBN: Gray Pharm Inc
Medicine Shoppe is an health care organization with primary practice located at 1510 S 2Nd St , Monroe LA 71202-2742. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gray Pharm Inc can be contacted via phone (318) 323-2883, or through Grayson, Roger A via phone (318) 323-2883.

Contact Information

Primary practice address
1510 S 2Nd St Monroe LA 71202-2742
Phone: (318) 323-2883
Fax: (318) 323-8732
Website:
Map and Directions
Authorized official contact:
Name: Grayson, Roger A RPH
Phone: (318) 323-2883

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2609-IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 2609-IR Louisiana

Profile Details

NPI number 1477504033
LBN Legal business name Gray Pharm Inc
DBA Doing business as Medicine Shoppe
Authorized official Grayson, Roger A RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - about 3 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 1477504033 NPPES
Louisiana Other 1924489 NCPDP #
Louisiana MEDICAID 1260657 NCPDP #

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