Medic Pharmacy of Bastrop
Medic Pharmacy of Bastrop provides Customized Equipment (DME) in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
1821 N Washington StBastrop, LA 71220-2441
Phone: (318) 281-3291
Fax: (318) 281-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 0304220001 (LA) |
|---|
Record details
| NPI number | 1205815800 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Grayson — Owner/President/Pharmacist · (318) 281-3291 |
| NPI enumerated | January 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1821 N Washington St, Bastrop, LA 71220-2441 |