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POLKS CROSSGATES DISCOUNT DRUGS INC NPI 1265538664


NPI Information

NPI: 1265538664
Provider Name: POLKS CROSSGATES DISCOUNT DRUGS INC

Doing Business As: PMO PHARMACY MANAGEMENT SHREVEPORT

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2255 WOODWARD AVE
SHREVEPORT, LA
ZIP 71103
Phone: (318) 429-0161
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POLKS CROSSGATES DISCOUNT DRUGS INC is a community/retail pharmacy pharmacy in Shreveport, LA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. POLKS CROSSGATES DISCOUNT DRUGS INC NPI is 1265538664. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmo Pharmacy Management Shreveport.

The provider's business location address is:

2255 WOODWARD AVE
SHREVEPORT, LA
ZIP 71103-547
Phone: (318) 429-0161
Fax: (318) 429-0163

The provider's authorized official is Janet D Gibbs .
The authorized official title is Pharmacist In Charge and has the following contact phone number (318) 429-0161.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 2/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5223LOUISIANANo
23336C0003XPharmacyCommunity/Retail Pharmacy5223LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200022580AMEDICAIDOKLAHOMA
2580101MEDICAIDTEXAS
31271357MEDICAIDLOUISIANA
40169480007MEDICARE NSCLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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