SCPG Louisiana LLC
Organization Active NPI Community/Retail Pharmacy · Lake Providence, LA
NPI 1700436706 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1700436706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SCPG LOUISIANA LLC
- Practice address
- 302 Lake St
Lake Providence, LA 71254-2630 - Phone
- (318) 559-2433
- Fax
- (318) 559-2437
- NPI assigned
- Sep 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Umar Farooq
- Title
- President
- Phone
- (501) 392-8680
Practitioners 3
-
Bobbie Stephens, PST.024041
-
Anne Marie Scott, PHARMD
National Provider Directory
Locations
302 Lake St
Lake Providence, LA 71254
Phone (318) 559-2433
303 N Hood St
#1
Lake Providence, LA 71254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
302 Lake St
Lake Providence, LA 71254-2630
Mailing address
PO Box 34407 PMB 53760
Little Rock, AR 72203-4407
Phone (501) 534-4459
Other names
- Express Rx of Lake Providence
Other providers in Lake Providence, LA
- Dana Easterling Pippin
- Karvan Powell
- Kim Powell
- Kelly Catherine Ratliff
- Anne Marie Scott
- Sharon Murphy
- Antrameka W Shaw
- Brittany Nicole Shelton
- Wanda Shoemaker
- Llewellyn Simon
All providers in Lake Providence, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.