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NPI Code Detail

MEDICARE: DR. CAROLE RENEE PICKETT PHARMD

MEDICARE: DR. CAROLE RENEE PICKETT PHARMD
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
11835P1200XPharmacotherapy Pharmacist18372LA

General Provider Information

NPI Number : 1275793051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLE RENEE PICKETT PHARMD
Provider Business Mailing Address
First Line : 620 CAPLES RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-8981
Country : US
Telephone Number : 318-327-7543
Fax Number :
Provider Business Practice Location Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2008
Last Update Date : 06/14/2008

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