MEDICARE: O'DONOVAN PHARMACY

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	PHY006684IR	LA

General Provider Information

NPI Number	:	1215365341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O'DONOVAN PHARMACY

Provider Business Mailing Address
First Line	:	5131 ODONOVAN DR STE 402
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5131 ODONOVAN DR STE 402
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4792
Country	:	US
Telephone Number	:	225-374-0270
Fax Number	:

Authorized Official
Title or Position	:	MARKET PRESIDENT
Name	:	CHUCK SPICER
Credential	:
Telephone Number	:	225-765-6565

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	01/19/2026

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Directions to “O'DONOVAN PHARMACY ” Practice Location

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