Provider Demographics
NPI:1689692626
Name:BRITT PHARMACY
Entity type:Organization
Organization Name:BRITT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-467-5225
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:NEWELLTON
Mailing Address - State:LA
Mailing Address - Zip Code:71357-0398
Mailing Address - Country:US
Mailing Address - Phone:318-467-5225
Mailing Address - Fax:318-467-5228
Practice Address - Street 1:102 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWELLTON
Practice Address - State:LA
Practice Address - Zip Code:71357-9656
Practice Address - Country:US
Practice Address - Phone:318-467-5225
Practice Address - Fax:318-467-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0534164-0013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1205681Medicaid
LA1205681Medicaid