Provider Demographics
NPI:1063572428
Name:MR. DISCOUNT DRUGS, INC.
Entity type:Organization
Organization Name:MR. DISCOUNT DRUGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, PH
Authorized Official - Phone:318-387-9677
Mailing Address - Street 1:1106 JONESBORO ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292
Mailing Address - Country:US
Mailing Address - Phone:318-387-9677
Mailing Address - Fax:318-387-3157
Practice Address - Street 1:1106 JONESBORO ROAD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292
Practice Address - Country:US
Practice Address - Phone:318-387-9677
Practice Address - Fax:318-387-3157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
LA4889-IR333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1269328Medicaid
LA1926281OtherNABP (NCPDP)
LA1269328Medicaid