Organization
BATON ROUGE SPECIALTY PHARMACY
Active
Other names
BATON ROUGE SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LIEM NGUYEN (PIC)
(225) 929-9912
Entity
Organization
Contact information
Practice address
748 CHEVELLE DR, BATON ROUGE, LA 70806-6503
(225) 929-9912
(225) 929-9948
Mailing address
748 CHEVELLE DR, BATON ROUGE, LA 70806-6503
(225) 929-9912
(225) 929-9948
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
4592IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270741
—
LA
01
—
1929996
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/23/2007
Last updated
05/04/2017
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