NORTH CADDO DRUG NPI 1285710236

NPI Details

NORTH CADDO DRUG is a pharmacist in Vivian, LA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. NORTH CADDO DRUG NPI is 1285710236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

144 W LOUISIANA AVENUE
VIVIAN, LA
ZIP 71082-836
Phone: (318) 375-2573
Fax: (317) 375-3156

The provider's authorized official is Jack Kaleel .
The authorized official title is Owner and has the following contact phone number (318) 375-2573.

The CLIA number assigned to this NPI record is 19D0463303 - other - hospital service district with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.

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: