Organization
GREATER BATON ROUGE PHARMACY
Active
Other names
Greater Baton Rouge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA NGWABA (PHARMACIST)
(281) 579-9393
Entity
Organization
Contact information
Practice address
7855 HOWELL BLVD, STE 160, BATON ROUGE, LA 70807
(281) 579-9393
(281) 579-3365
Mailing address
7855 HOWELL BLVD, STE 160, BATON ROUGE, LA 70807
(281) 579-9393
(281) 579-3365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936484
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/06/2012
Last updated
09/12/2012
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