Organization
WOMAN'S HOSPITAL FOUNDATION
Active
Other names
Woman's Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERI G FONTENOT (CEO & PRESIDENT)
(225) 927-1300
Entity
Organization
Contact information
Practice address
7662 GOODWOOD BLVD, SUITE B201, BATON ROUGE, LA 70806-7622
(225) 924-8174
(225) 924-8476
Mailing address
7662 GOODWOOD BLVD, SUITE B201, BATON ROUGE, LA 70806-7622
(225) 924-8174
(225) 924-8476
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
3353 IR
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
3353 IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263419
—
LA
Enumeration date
06/28/2006
Last updated
05/27/2010
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