National Provider Identifier Database

MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
2005 CRESWELL AVE
SHREVEPORT, LA71104-2201
Phone: 318-678-0709
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC

NPI Number 1972730828
Legal business name
LBN
MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
Authorized official DEWARRENT BRANTLEY - (CEO/ PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/18/2009
Last updated 06/18/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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