Medic Pharmacy Of Bastrop
Customized Equipment
1821 N Washington St, Bastrop
Louisiana, 71220-2441
318-281-3291 318-281-3292
Medic Pharmacy Of Bastrop is a Customized Equipment in Bastrop, Louisiana. It is located at 1821 N Washington St, Bastrop and it's customer support contact number is 318-281-3291. The authorized person of Medic Pharmacy Of Bastrop is Mr. William Gary Grayson Sr., RPH who is Owner/president/pharmacist of this DME and his contact number is 318-281-3291. Active license number of Medic Pharmacy Of Bastrop is 0304220001 for Customized Equipment in Louisiana.
Medic Pharmacy Of Bastrop is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Medic Pharmacy Of Bastrop type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Medic Pharmacy Of Bastrop |
| Type: | Customized Equipment |
| Location: | 1821 N Washington St, Bastrop,
Louisiana, 71220-2441 |
| Phone: | 318-281-3291 |
| Fax: | 318-281-3292 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William Gary Grayson Sr. |
| Credentials: | RPH |
| Position: | Owner/president/pharmacist |
| Contact Number: | 318-281-3291 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1205815800 |
| NPI Enumeration Date: | 11 Jan, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medic Pharmacy Of Bastrop are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 0304220001 | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| C5068 | Other | Louisiana | Blue Cross Blue Shield Of |
| 1533611 | Medicaid | Louisiana | |
| 1903649 | Other | Louisiana | Napb |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1821 N Washington St,
Bastrop, Louisiana |
| Zip: | 71220-2441 |
| Phone Number: | 318-281-3291 |
| Fax Number: | 318-281-3292 |
Patients can reach Medic Pharmacy Of Bastrop at
1821 N Washington St, Bastrop, Louisiana or can
call on customer care at 318-281-3291.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.