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General NPI Number Information
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NPI Number | 1629516331
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Entity Type | Organization
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Legal Business Name | FONTENOT SCOTT PHARMACY
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1000 ST MARY ST.
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City | SCOTT
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State | LA
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Zip | 70583
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Country | US
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Telephone | 337-235-5216
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Fax | 337-235-5217
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | SCOTT
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State | LA
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Zip | 70583-0188
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Country | US
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Telephone | 337-235-5216
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Fax | 337-235-5217
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. FORREST FONTENOT
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Credential | PHARM D
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Telephone | 337-235-5216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY.007410-IR
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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