Medic Pharmacy of Bastrop INC
NPI #1386703411 in Sterlington, Louisiana
Provider Information
- NPI Number
- 1386703411
- Entity Type
- Organization
- Organization Name
- Medic Pharmacy of Bastrop INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Feb 12, 2014
Practice Location
- Address
- 601 HIGHWAY 2
- City
- Sterlington
- State
- Louisiana
- ZIP Code
- 71280-3002
- Phone
- (318) 665-4414
Authorized Official
- Name
- MR. WILLIAM GARY GRAYSON, R.PH.
- Title
- OWNER
- Phone
- (318) 665-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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