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NPI Provider: 1073518643
Contact Name: RICHE LEO
Position: PIC
Phone: (318) 487-1884
Medsource Pharmacy Services Information:
Medsource Pharmacy Services organization have npi 1073518643, taxonomy code is 333600000X with license number is 14961 in . This Business address located in 2223 Worley Dr, Alexandria, LA 71301 Louisiana. Get directions of Medsource Pharmacy Services.
Practice Location
Address: 2223 Worley Dr, Alexandria, LA 71301
Phone: (318) 487-1884
Business Location
Address: 2223 Worley Dr, Alexandria, LA 71301
Phone: (954) 965-4900
Taxonomy
Taxonomy Code: 333600000X
License Number: 14961
License Number of State: LA
Primary Taxonomy Switch: X
Enumeration Date: 6/20/2005
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