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NPI Code Detail

MEDICARE: NEW ORLEANS NAC PHCY

MEDICARE: NEW ORLEANS NAC PHCY
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
1332000000XMilitary/U.S. Coast Guard Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11929465OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1942309356
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ORLEANS NAC PHCY
Provider Business Mailing Address
First Line : 1 SANCTUARY DR BLDG H100
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70142-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 SANCTUARY DR BLDG H100
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70142-0001
Country : US
Telephone Number : 504-678-2400
Fax Number : 504-678-9069
Authorized Official
Title or Position : MGR PHRMCY OPERATIONS CNTR
Name : HECTOR MORALES
Credential :
Telephone Number : 210-221-8443
Provider Enumeration Date : 09/22/2006
Last Update Date : 08/03/2010

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Directions to “NEW ORLEANS NAC PHCY ” Practice Location

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