EARL K LONG MEDICAL CENTER
5825 Airline Hwy
Baton Rouge, LA 70805
225-358-4826
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 3336I0012X | Suppliers - Pharmacy | LA | PHY.004380-IRX |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1203831 | LA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1914820 | OTHER |