Medsource Pharmacy Services

LBN: Medsource Pharmacy Services
Medsource Pharmacy Services is an health care organization with primary practice located at 2223 Worley Dr , Alexandria LA 71301-3631. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medsource Pharmacy Services can be contacted via phone (318) 487-1884, or through Riche, Leo via phone (318) 487-1884.

Contact Information

Primary practice address
2223 Worley Dr Alexandria LA 71301-3631
Phone: (318) 487-1884
Fax: (318) 487-1299
Website:
Map and Directions
Authorized official contact:
Name: Riche, Leo RPH
Phone: (318) 487-1884

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 14961 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073518643
LBN Legal business name Medsource Pharmacy Services
DBA Doing business as
Authorized official Riche, Leo RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1073518643 NPPES
Louisiana MEDICAID 1270750
Louisiana Other 1931016

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