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Individual

ERIC TONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9820 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8251
(225) 248-1104
Mailing address
9820 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8251
(225) 248-1104

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022204
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA.003930
MEDICATION ADMINISTRATION LICENSE
LA
01
PST.022204
PHARMACIST LICENSE
LA
Enumeration date
09/25/2017
Last updated
07/21/2022
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