BATON ROUGE PHARMACY (2882)    INSTITUTION (4)

Name Value
NAME BATON ROUGE PHARMACY
STATE LOUISIANA
STREET ADDR. 1 7968 ESSEN PARK AVE
CITY Baton Rouge
ZIP 70809-7439
OFFICIAL VA NAME Baton Rouge Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BATON ROUGE VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 7968 ESSEN PARK AVE
CITY (MAILING) Baton Rouge
STATE (MAILING) LOUISIANA
ZIP (MAILING) 70809-7439
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1679530794
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1679530794