Organization · Type 2 NPI
Practicemd, Inc.
Non-Pharmacy Dispensing Site · Shreveport, LA
NPI number
1063717841
Active
Practice location
242 Lynbrook Blvd
Shreveport, LA 71106-6548
Fax (318) 841-4342
Mailing address
PO Box 6657
Shreveport, LA 71136-6657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
Other non-pharmacy dispensing site providers in Shreveport
About NPI 1063717841
Practicemd, Inc.'s National Provider Identifier is 1063717841, issued on Jan 25, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 25, 2011.