Organization · Type 2 NPI
Paul Van Deventer MD Apmc
Non-Pharmacy Dispensing Site · Covington, LA
NPI number
1104337559
Active
Practice location
1200 Pinnacle Pkwy Ste 3
Covington, LA 70433-9169
Fax (877) 427-2307
Mailing address
PO Box 3328
Bentonville, AR 72712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | MD.025612 (LA) |
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.)
Another provider at this address
Other non-pharmacy dispensing site providers in Covington
About NPI 1104337559
Paul Van Deventer MD Apmc's National Provider Identifier is 1104337559, issued on Oct 12, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Covington, LA. The record was last updated on Nov 16, 2017.