MEDICARE: BRITTANY STRONG

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	183500000X	Pharmacist	PST.021679	LA

General Provider Information

NPI Number	:	1417406091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY STRONG

Provider Business Mailing Address
First Line	:	411 E MAIN ST
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-2552
Country	:	US
Telephone Number	:	318-428-4205
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 E MAIN ST
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-2552
Country	:	US
Telephone Number	:	318-428-4205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	09/23/2016

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Directions to “ BRITTANY STRONG ” Practice Location

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