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NPI Code Detail

MEDICARE: HOTBAR LLC

MEDICARE: HOTBAR LLC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy6121LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12035354OTHERPK

General Provider Information

NPI Number : 1447265061
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOTBAR LLC
Provider Business Mailing Address
First Line : 10374 HIGHWAY 165 N
Second Line : STE C
City : STERLINGTON
State : LA
Zip : 71280-3320
Country : US
Telephone Number : 318-330-9393
Fax Number : 318-324-8610
Provider Business Practice Location Address
First Line : 1470 GARRETT RD STE A
Second Line :
City : MONROE
State : LA
Zip : 71202-3938
Country : US
Telephone Number : 318-330-9393
Fax Number : 318-324-8610
Authorized Official
Title or Position : PHARMACIST
Name : A NICOLE HOTARD
Credential :
Telephone Number : 318-330-6363
Provider Enumeration Date : 07/30/2006
Last Update Date : 02/08/2016

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Directions to “HOTBAR LLC ” Practice Location

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