Organization
PAUL'S PHARMACY #4
Active
Other names
Paul's Pharmacy Baton Rouge
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DURNIN (OWNER/PHARMACIST)
(985) 878-4401
Entity
Organization
Contact information
Practice address
5355 GOVERNMENT ST, BATON ROUGE, LA 70806-6065
(985) 878-4401
(985) 878-3657
Mailing address
PO BOX 838, INDEPENDENCE, LA 70443-0838
(985) 878-4401
(985) 878-3657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006458
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935999
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2012
Last updated
01/04/2012
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