Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scpg Louisiana LLC

Organization Community/Retail Pharmacy · NPI 1700436706

Scpg Louisiana LLC is a Community/Retail Pharmacy in Lake Providence, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

302 Lake St
Lake Providence, LA 71254-2630
Phone: (318) 559-2433
Fax: (318) 559-2437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1700436706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Umar Farooq — President · (501) 392-8680
Other names Express Rx Of Lake Providence; Express Rx Of Lake Providence
NPI enumeratedSeptember 12, 2019
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing addressPo Box 34407 Pmb 53760, Little Rock, AR 72203-4407

Other providers in Lake Providence