NPI 1578661013
Phoenix Rexall Drugs, INC Dba Phoenix Home Medical
Practice location
- Address
- 100 E Fertitta Blvd, Leesville, LA 71446-4737
- Phone
- (337) 238-5114
- Fax
- (337) 239-9200
- Mailing address
- PO Box 172, Leesville, LA 71496-0172
Authorised official
- Name
- Cynthia G Wann-Jeane
- Title
- Owner
- Phone
- (337) 238-5114
Registered specialties (4)
Durable Medical Equipment & Medical Supplies
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Home Infusion Therapy Pharmacy
Registry record
- NPI
- 1578661013
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 6 Feb 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.