National Provider Identifier Database

AMG LLC
Community/Retail Pharmacy

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.


Contact Information

AMG LLC
10463 PLANK RD
CLINTON, LA70722-3710
Phone: 225-683-8188
Fax: 225-683-9826
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for AMG LLC

NPI Number 1710056718
Legal business name
LBN
AMG LLC
Authorized official WIMBERLY GAYLE - (OWNER AND RPH)
Entity Organization
Organization subpart No
Enumeration date 11/06/2006
Last updated 01/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: PHY.004613-IR
  • LA Medicaid: 1268534
  • Other: 2030031 PK

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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