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NPI Code Detail

MEDICARE: DR. RICHARD ANDERSON JR. PHARMD

MEDICARE: DR. RICHARD ANDERSON JR. 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
1183500000XPharmacist020664LA

General Provider Information

NPI Number : 1437568342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ANDERSON JR. PHARMD
Provider Business Mailing Address
First Line : 5004 WEST ESPLANADE AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70006
Country : US
Telephone Number : 504-888-9000
Fax Number :
Provider Business Practice Location Address
First Line : 5004 WEST ESPLANADE AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70006
Country : US
Telephone Number : 504-888-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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