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Contact Information

BATON ROUGE SPECIALTY PHARMACY
748 CHEVELLE DR
BATON ROUGE, LA70806-6503
 Phone: 225-929-9912
 Fax: 225-929-9948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BATON ROUGE SPECIALTY PHARMACY

NPI # 1801940259
LBN Legal business name BATON ROUGE SPECIALTY PHARMACY
Authorized official LIEM NGUYEN - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 05/04/2017 - About 9 years ago
Identifiers
LA License # 4592IR
LA Medicaid 1270741
Other 1929996 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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