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David Raines Community Health Center Inc — NPI 1639489990, Bossier City, LA | NPI Central

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NPI 1639489990

OrganizationActive

David Raines Community Health Center Inc

NPI 1639489990 · Pharmacy · Bossier City, LA

Provider details

NPI number: 1639489990
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Willie White, Ceo(318) 227-3342

Specialties & taxonomies

PharmacyPrimary333600000XLicense PHY006318IR (LA)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Clinic Pharmacy3336C0002X
Suppliers

Practice location

1514 Doctors Dr

Bossier City, LA 71111-3379

Phone: (318) 841-6057

Fax: (318) 841-6058

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

1625 David Raines Rd

Shreveport, LA 71107-5899

Other names (DBA / former)

Doing business as: David Raines Community Health Centers Pharmacy

Registry dates

Enumerated: 2010-10-20
Last updated: 2016-12-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.