Organization
CITY APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C HILDENBRAND PD (PRESIDENT)
(318) 388-4747
Entity
Organization
Contact information
Practice address
312 GRAMMONT ST, SUITE 102, MONROE, LA 71201-7457
(318) 388-4747
(318) 388-4849
Mailing address
312 GRAMMONT ST, SUITE 102, MONROE, LA 71201-7457
(318) 388-4747
(318) 388-4849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9945
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208698
—
LA
01
—
38166
BLUE CROSS OF LA
LA
Enumeration date
01/22/2008
Last updated
01/22/2008
Update your record
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