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Magnolia Intergrated Healthcare Services Inc — NPI 1972730828, Shreveport, LA | NPI Central

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NPI 1972730828

OrganizationActive

Magnolia Intergrated Healthcare Services Inc

NPI 1972730828 · Clinic Pharmacy · Shreveport, LA

Provider details

NPI number: 1972730828
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Dewarrent Brantley, Ceo/ President(318) 678-0709

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002X
Suppliers

Practice location

2005 Creswell Ave

Shreveport, LA 71104-2201

Phone: (318) 678-0709

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

2005 Creswell Ave

Shreveport, LA 71104-2201

Other names (DBA / former)

Former legal business name: No

Registry dates

Enumerated: 2009-06-18
Last updated: 2009-06-18

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