Scpg Louisiana LLC
NPI #1700436706 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1700436706
- Entity Type
- Organization
- Organization Name
- Scpg Louisiana LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 12, 2019
- Last Updated
- Nov 18, 2025
Practice Location
- Address
- 302 LAKE ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2630
- Phone
- (318) 559-2433
Authorized Official
- Name
- MR. UMAR FAROOQ
- Title
- PRESIDENT
- Phone
- (501) 392-8680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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