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NPI Code Detail

MEDICARE: ANITRA ISAAC

MEDICARE:   ANITRA  ISAAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16978LA

General Provider Information

NPI Number : 1457667586
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITRA ISAAC
Provider Business Mailing Address
First Line : 37016 COBBLESTONE AVE
Second Line :
City : GEISMAR
State : LA
Zip : 70734-3233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5112 ESSEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3540
Country : US
Telephone Number : 225-769-7224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2010
Last Update Date : 08/26/2010

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Directions to “ ANITRA ISAAC ” Practice Location

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