MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
NPI 1972730828
Pharmacy - Clinic Pharmacy in Shreveport, LA

Active since June 18, 2009
2005 CRESWELL AVE, SHREVEPORT, LA 71104(318) 678-0709 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magnolia Intergrated Healthcare Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC (NPI 1972730828), doing business as No, is a healthcare organization registered as a clinic pharmacy in Shreveport, Louisiana and active in the NPI registry since June 2009. The organization lists Dewarrent L. Brantley, Ceo/ President, as its authorized official.

NPPES Registry Identity

NPI1972730828
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
Location Address2005 CRESWELL AVEShreveport, LA 71104-2201
Mailing Address2005 Creswell AveShreveport, LA 71104-2201 · (318) 678-0709
Organization SubpartNo
Authorized OfficialDewarrent L. BrantleyCeo/ President · (318) 678-0709
Enumeration DateJune 18, 2009
NPI 1972730828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

2005 CRESWELL AVE, Shreveport, LA 71104

Other Names 1

Former Legal Business NameNo

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Clinic/Center (Mental Health (Including Community Mental Health Center))
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Clinic/Center (Multi-Specialty)
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Non-emergency Medical Transport (VAN)
2005 CRESWELL AVE
SHREVEPORT, LA 71104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Intergrated Healthcare Services Inc's NPI number?

The NPI number for Magnolia Intergrated Healthcare Services Inc is 1972730828. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider was formerly known as No.

Where is Magnolia Intergrated Healthcare Services Inc located?

Magnolia Intergrated Healthcare Services Inc is located at 2005 Creswell Ave, Shreveport, LA 71104. The listed phone number is (318) 678-0709.

What is Magnolia Intergrated Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Magnolia Intergrated Healthcare Services Inc was last updated on June 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.