Organization
CVS
Active
Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHA PAUL (PHARMACIST)
(504) 575-4762
Entity
Organization
Contact information
Practice address
12880 AIRLINE HWY, BATON ROUGE, LA 70817-5105
(225) 751-3611
Mailing address
4600 ALPHONSE DR, METAIRIE, LA 70006-1207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PST021752
LA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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