Organization · Type 2 NPI
Northshore Interventional Pain Management
Non-Pharmacy Dispensing Site · Covington, LA
NPI number
1144734153
Active
Practice location
7015 Hwy 190 E Service Rd., Ste 101
Covington, LA 70433
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.020506 (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.)
Other non-pharmacy dispensing site providers in Covington
About NPI 1144734153
Northshore Interventional Pain Management's National Provider Identifier is 1144734153, issued on Nov 29, 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 29, 2017.