Medic Pharmacy of Bastrop

NPI #1205815800 in Bastrop, Louisiana

Provider Information

NPI Number
1205815800
Entity Type
Organization
Organization Name
Medic Pharmacy of Bastrop
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Jan 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1821 N WASHINGTON ST
ZIP Code
71220-2441
Phone
(318) 281-3291

Authorized Official

Name
MR. WILLIAM GARY GRAYSON SR., RPH
Title
OWNER/PRESIDENT/PHARMACIST
Phone
(318) 281-3291

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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