Whalio Doctors

NPI 1578661013

Phoenix Rexall Drugs, INC Dba Phoenix Home Medical

Organisation Durable Medical Equipment & Medical Supplies Leesville, LA

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
Suppliers Taxonomy 332B00000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X

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.