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1669521316 NPI number — PROFESSIONAL CARE PHARMACY, LLC

NPI Number: 1669521316
Health Care Provider/Practitioner: PROFESSIONAL CARE PHARMACY, LLC

Information about “1669521316” NPI (PROFESSIONAL CARE PHARMACY, LLC) exists in 1669521316 in HTML format HTML  |  1669521316 in plain Text format TXT  |  1669521316 in PDF (Portable Document Format) PDF  |  1669521316 in an XML format XML  formats.

NPI Number : 1669521316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669521316",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PROFESSIONAL CARE PHARMACY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1406 LAMY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71201-3732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-345-2891",
    "MailingAddressFaxNumber": "318-343-0093",
    "FirstLinePracticeLocationAddress": "1406 LAMY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONROE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71201-3732",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-345-2891",
    "PracticeLocationAddressFaxNumber": "318-343-0093",
    "EnumerationDate": "01/10/2007",
    "LastUpdateDate": "04/09/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOPSON",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "BARRY",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "318-345-2891",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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