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NPI Code Detail

MEDICARE: DR. LIZZIE ATOMI PAMEN RPH

MEDICARE: DR. LIZZIE ATOMI PAMEN RPH
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.023149LA

General Provider Information

NPI Number : 1295381903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIZZIE ATOMI PAMEN RPH
Provider Business Mailing Address
First Line : 1401 N TRENTON ST
Second Line :
City : RUSTON
State : LA
Zip : 71270-2325
Country : US
Telephone Number : 318-254-8731
Fax Number :
Provider Business Practice Location Address
First Line : 1401 N TRENTON ST
Second Line :
City : RUSTON
State : LA
Zip : 71270-2325
Country : US
Telephone Number : 318-254-8731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2019
Last Update Date : 08/18/2019

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Directions to “ DR. LIZZIE ATOMI PAMEN RPH” Practice Location

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