NPI 1083094007

Louisiana Family Medicine Clinic, INC.

Organisation Non-Pharmacy Dispensing Site Jonesboro, LA

Practice location

Address: 103 Watts St, Jonesboro, LA 71251-2053
Phone: (318) 259-1569
Fax: (318) 259-8523

Authorised official

Name: Dirk Rainwater
Title: Owner
Phone: (318) 259-1569

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1083094007
Entity type: Organization
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.