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NPI Code Detail

MEDICARE: MR. JOHN JOSEPH ROBICHAUX RPH

MEDICARE: MR. JOHN JOSEPH ROBICHAUX 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
1183500000XPharmacist15897LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115897OTHERLABOARD OF PHARMACY

General Provider Information

NPI Number : 1669473922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN JOSEPH ROBICHAUX RPH
Provider Business Mailing Address
First Line : 5067 PLANTATION RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-8501
Country : US
Telephone Number : 318-483-7337
Fax Number : 318-483-7088
Provider Business Practice Location Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7337
Fax Number : 318-483-7088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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