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NPI Code Detail

MEDICARE: RX PROS, INC

MEDICARE: RX PROS, INC
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
13336C0003XCommunity/Retail PharmacyPHY.007355 IRLA

General Provider Information

NPI Number : 1669923991
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX PROS, INC
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 : 318-812-2305
Fax Number :
Provider Business Practice Location Address
First Line : 10374 HIGHWAY 165 N
Second Line : STE. C
City : STERLINGTON
State : LA
Zip : 71280-3320
Country : US
Telephone Number : 318-812-2305
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANGELA NICOLE HOTARD
Credential :
Telephone Number : 318-812-2305
Provider Enumeration Date : 10/21/2016
Last Update Date : 10/21/2016

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Directions to “RX PROS, INC ” Practice Location

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