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NPI Code Detail

MEDICARE: CANDACE ZAHN

MEDICARE: CANDACE ZAHN
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
1183500000XPharmacist020633LA

General Provider Information

NPI Number : 1568877173
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE ZAHN
Provider Business Mailing Address
First Line : 210 BRITTANY LN
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1504
Country : US
Telephone Number : 504-905-2788
Fax Number :
Provider Business Practice Location Address
First Line : 2101 COLLINS BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-5673
Country : US
Telephone Number : 985-893-3296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 07/31/2014

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Directions to “ CANDACE ZAHN ” Practice Location

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