MEDSOURCE PHARMACY SERVICES
2223 Worley Dr
Alexandria, LA 71301
318-487-1884
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
X | 333600000X | Suppliers - Pharmacy | LA | 14961 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1270750 | LA | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1931016 | OTHER |