Waltz Pharmacy

LBN: Waltz & Brazzel Pharmacy Inc
Waltz Pharmacy is an health care organization with primary practice located at 200 North Trenton Street , Ruston LA 71270. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Waltz & Brazzel Pharmacy Inc can be contacted via phone (318) 255-0458, or through Waltz, Phil H via phone (318) 255-0458.

Contact Information

Primary practice address
200 North Trenton Street Ruston LA 71270
Phone: (318) 255-0458
Fax: (318) 251-3373
Website:
Map and Directions
Authorized official contact:
Name: Waltz, Phil H RPH
Phone: (318) 255-0458

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 3935 1R Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1023156395
LBN Legal business name Waltz & Brazzel Pharmacy Inc
DBA Doing business as Waltz Pharmacy
Authorized official Waltz, Phil H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Mar 25th, 2022 - 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 1023156395 NPPES
Louisiana MEDICAID 1273953

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