WAGIH SOUS


Address: 4283 Carter St., Vidalia, LA 71373
Phone: 3183368801

WAGIH SOUS (NPI# 1609241587) 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) 1609241587
Entity Type Individual
Full Name WAGIH SOUS
Practice Address 4283 Carter St.
Vidalia
LA 71373
Mailing Address 4283 Carter St
Vidalia
LA 71373-3148
Practice Telephone 3183368801
Enumeration Date 2015-12-03
Last Update Date 2015-12-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
015726 LA Pharmacy Service Providers

Office Location

Street Address 4283 CARTER ST.
City VIDALIA
State LA
Zip Code 71373

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513494 Total Urgent Care Clinic/Center 4014 Carter Street, Vidalia, LA 71373 2020-03-13
1609412097 Hulin Urgent Care Services, LLC Clinic/Center 4319 Highway 84, Vidalia, LA 71373 2019-11-21
1720562556 Neashion Marie Davis Counselor 1644 B Carter Street. Suite #2, Vidalia, LA 71373 2018-09-18
1992292403 Angelica Francheska Woods Counselor 1644 B. Carter Street Suite 2, Vidalia, LA 71373 2018-04-19
1164973780 Linda Sherbia Counselor 1644 B Carter St., Suite 2, Vidalia, LA 71373 2016-10-19
1518418045 Cheryl Clark Case Manager/Care Coordinator 1644 B Carter Suite 2, Vidalia, LA 71373 2016-10-19
1972054500 Sherry Cade Counselor 1644 B Carter Street, Suite 2, Vidalia, LA 71373 2016-10-19
1457801136 Sarai Johnson Counselor 1644 B Carter Street Suite 2, Vidalia, LA 71373 2016-10-06
1053766410 Erin Fournet Woodruff Physical Therapist 402 Holly Street, Vidalia, LA 71373 2016-05-04
1184084113 Troy Nolan Thomas Jr. Counselor 4012 Carter St., Vidalia, LA 71373 2016-03-03
Find all providers in zip 71373

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952957557 Medication Management Consultants LLC Pharmacist 318 Bevly Lake Dr, Bossier City, LA 71111-5174 2019-08-11
1801395108 Pharmdready, LLC Pharmacist 1921 Oak Creek Rd Apt 237, River Ridge, LA 70123-5870 2018-02-02
1790158426 Kady Eschete Pharmacist 114 Bayou Bend Dr, Houma, LA 70364-1101 2015-11-03
1760874135 John Scott Blake Pharmacist 624 Texas St Apt 403, Shreveport, LA 71101-3553 2015-02-23
1811397656 Walmart Pharmacy Pharmacist 8912 Veterans Blvd, Metairie, LA 70003 2014-08-29
1700285855 Sam Grizzaffi Pharmacist 3224 Lake Palourde Dr, Morgan City, LA 70380-1563 2014-08-14
1992080741 John Michael Pollard Pharmacist 8155 Highway 165, Columbia, LA 71418-4341 2011-10-12
1700169463 Leslie Richard Carr Pharmacist 5840 Brookflower Circle Ln, Lake Charles, LA 70605-0293 2011-09-20
1700175734 Timothy James Moten Pharmacist 114 Gause, Slidell, LA 70460 2011-03-30
1417256942 Cody Allison Pharmacist 115 Glenwood Dr, Metairie, LA 70005-3911 2011-03-23
Find all providers with the same taxonomy

Competitor

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City VIDALIA
Zip Code 71373

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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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