Provider Demographics
NPI:1588710370
Name:RIGHT VALUE PHARMACY OF CALHOUN
Entity type:Organization
Organization Name:RIGHT VALUE PHARMACY OF CALHOUN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:MOSS
Authorized Official - Last Name:PROVOST
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:318-680-3590
Mailing Address - Street 1:1009 HIGHWAY 80 EAST
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:LA
Mailing Address - Zip Code:71225
Mailing Address - Country:US
Mailing Address - Phone:318-644-3911
Mailing Address - Fax:318-644-3933
Practice Address - Street 1:1009 HIGHWAY 80 EAST
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:LA
Practice Address - Zip Code:71225
Practice Address - Country:US
Practice Address - Phone:318-644-3911
Practice Address - Fax:318-644-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty