Organization
MID-CITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BLADES (PHARMACIST IN CHARGE)
(225) 987-9107
Entity
Organization
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9107
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291170
—
LA
01
—
1931977
NCPDP
LA
Enumeration date
05/20/2008
Last updated
05/20/2008
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