MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC is a clinic pharmacy pharmacy in Shreveport, LA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC NPI is 1972730828. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is No.
The provider's business location address is:
2005 CRESWELL AVE
SHREVEPORT, LA
ZIP 71104-201
Phone: (318) 678-0709
The provider's authorized official is Dewarrent L. Brantley .
The authorized official title is Ceo/ President and has the following contact phone number (318) 678-0709.
The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/18/2009.