Organization
EARL K. LONG MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R SMITHBURG (VICE CHANCELLOR CEO)
(225) 922-1474
Entity
Organization
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 958-1000
(225) 358-1003
Mailing address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 958-1000
(225) 358-1003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203831
—
LA
Enumeration date
02/28/2007
Last updated
08/22/2020
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