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NPI Code Detail

MEDICARE: DR. MITCHELL AMEDEE PHARM D

MEDICARE: DR. MITCHELL AMEDEE PHARM D
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
1183500000XPharmacistPST.019929LA

General Provider Information

NPI Number : 1225437304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL AMEDEE PHARM D
Provider Business Mailing Address
First Line : 21430 HIGHWAY 20
Second Line :
City : VACHERIE
State : LA
Zip : 70090-3614
Country : US
Telephone Number : 225-265-2191
Fax Number :
Provider Business Practice Location Address
First Line : 21430 HIGHWAY 20
Second Line :
City : VACHERIE
State : LA
Zip : 70090-3614
Country : US
Telephone Number : 225-265-2191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 08/14/2014

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Directions to “ DR. MITCHELL AMEDEE PHARM D” Practice Location

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