BATON ROUGE SPECIALTY PHARMACY
748 Chevelle Dr
Baton Rouge, LA 70806
225-929-9912
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0002X | Suppliers - Pharmacy | LA | 4592IR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1270741 | LA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1929996 | OTHER |