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NPI Code Detail

MEDICARE: MRS. ALICIA B VERRET

MEDICARE: MRS. ALICIA B VERRET
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
1183500000XPharmacist17379LA

General Provider Information

NPI Number : 1356656300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA B VERRET
Provider Business Mailing Address
First Line : 821 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2758
Country : US
Telephone Number : 504-468-5479
Fax Number : 504-468-1730
Provider Business Practice Location Address
First Line : 821 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2758
Country : US
Telephone Number : 504-468-5479
Fax Number : 504-468-1730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2010
Last Update Date : 08/15/2010

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Directions to “ MRS. ALICIA B VERRET ” Practice Location

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