MEDICARE: N&T PHARMACY, INC.

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
1	333600000X	Pharmacy	4637IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144227398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N&T PHARMACY, INC.

Provider Business Mailing Address
First Line	:	1124 MARQUE ANN DR
Second Line	:	SUITE B
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2635
Country	:	US
Telephone Number	:	225-272-0007
Fax Number	:	225-272-2277

Provider Business Practice Location Address
First Line	:	1124 MARQUE ANN DR
Second Line	:	SUITE B
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2635
Country	:	US
Telephone Number	:	225-272-0007
Fax Number	:	225-272-2277

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MR. PHUNG NGOC NGUYEN
Credential	:
Telephone Number	:	504-245-4080

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/22/2020

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