MEDCORE SPECIALTY PHARMACY


Address: 1435 E. Carroll St., Suite B, Coushatta, LA 71019
Phone: 3189328661

MEDCORE SPECIALTY PHARMACY (NPI# 1255566857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255566857
Entity Type Organization
Organization Name MEDCORE SPECIALTY PHARMACY
Practice Address 1435 E. Carroll St.
Suite B
Coushatta
LA 71019
Practice Telephone 3189328661
Mailing Telephone 3189328661
Enumeration Date 2009-05-27
Last Update Date 2009-05-27
Authorized Official Name RAY MABILE (OWNER/PHARMACIST)
Authorized Official Telephone 3189323083
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
6118 LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
LA LA BOARD OF PHARMACY PERMIT 6118 01

Office Location

Street Address 1435 E. CARROLL ST.
SUITE B
City COUSHATTA
State LA
Zip Code 71019

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1447621222 Ranette Smith Counselor 1414 Leigh Street, Coushatta, LA 71019 2015-10-19
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1437346186 Specialty Rehabilitation Hospital, L.L.C. Rehabilitation Hospital 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 2007-09-26
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1629108386 Red River Association for Retarded Citizens Inc Day Training, Developmentally Disabled Services 1908 Hwy 71 South, Coushatta, LA 71019 2007-03-06
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1629114889 Deborah Jeanne Dejean-eaton Registered Nurse 1313 Ringgold Ave., Coushatta, LA 71019 2007-01-29
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Taxonomy Information

Taxonomy Code 3336S0011X
Grouping Suppliers
Classification Pharmacy
Specialization Specialty Pharmacy

Taxonomy Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1801309133 Fmol Health Systems Pharmacy 4950 Essen Ln Ste 540, Baton Rouge, LA 70809-3738 2017-11-08
1760836381 Ochsner Pharmacy and Wellness LLC Pharmacy 1405 Jefferson Hwy Ste A, New Orleans, LA 70121-2426 2016-04-20
1962816223 Avita Drugs LLC Pharmacy 5551 Corporate Blvd Ste 102, Baton Rouge, LA 70808-2512 2014-06-16
1932412095 Optum Infusion Services 305, LLC Pharmacy 11211 Industriplex Blvd., Ste. 900, Baton Rouge, LA 70809 2010-07-19
1255722468 Affordable Pharmacy LLC Pharmacy 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 2015-02-10
1033508544 Rays Pharmacy On Versailles LLC Pharmacy 78a Versailles Blvd, Alexandria, LA 71303-3960 2015-01-21
1215274741 Lacombe Family Pharmacy LLC Pharmacy 28079 Us Hwy 190, Lacombe, LA 70445 2013-01-03
1689910960 Lacombe Family Pharmacy LLC Pharmacy 28079 Us Hwy 190, Lacombe, LA 70445 2012-12-14
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Competitor

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City COUSHATTA
Zip Code 71019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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