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NPI Code Detail

MEDICARE: RANDY S CARR R.PH.

MEDICARE: RANDY S CARR R.PH.
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
1183500000XPharmacist11757LA

General Provider Information

NPI Number : 1760591747
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDY S CARR R.PH.
Provider Business Mailing Address
First Line : 457 FAIRFIELD AVE
Second Line :
City : GRETNA
State : LA
Zip : 70056-7033
Country : US
Telephone Number : 524-367-5724
Fax Number :
Provider Business Practice Location Address
First Line : 3500 HOLIDAY DRIVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-3428
Country : US
Telephone Number : 504-367-5725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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