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NPI Code Detail

MEDICARE: ANGELA NICOLE HOTARD

MEDICARE:   ANGELA NICOLE HOTARD
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
1183500000XPharmacist16604LA

General Provider Information

NPI Number : 1730789868
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA NICOLE HOTARD
Provider Business Mailing Address
First Line : 218 NEW CHAPEL HILL RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-1704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 CYPRESS ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-4555
Country : US
Telephone Number : 318-267-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 10/28/2020

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Directions to “ ANGELA NICOLE HOTARD ” Practice Location

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