Organization
BOCAGE PHARMACY CENTRE INC
Active
Other names
Bocage Pharmacy Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA GIBBENS (DOCTOR OF PHARMACY)
(225) 364-2847
Entity
Organization
Contact information
Practice address
7150 JEFFERSON HWY, STE 680, BATON ROUGE, LA 70806-8128
(225) 364-2847
(225) 364-2852
Mailing address
7150 JEFFERSON HWY, STE 680, BATON ROUGE, LA 70806-8128
(225) 364-2847
(225) 364-2852
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY006047IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234273
—
LA
01
—
2116838
PK
—
Enumeration date
07/17/2008
Last updated
08/18/2014
Update your record
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