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NPI Code Detail

MEDICARE: MR. JOHN CONVERSE MCKEY PD

MEDICARE: MR. JOHN CONVERSE MCKEY PD
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
1183500000XPharmacist13382LA

General Provider Information

NPI Number : 1760999528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN CONVERSE MCKEY PD
Provider Business Mailing Address
First Line : 6920 PLANK RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70811-6041
Country : US
Telephone Number : 225-356-0654
Fax Number : 225-357-7936
Provider Business Practice Location Address
First Line : 6920 PLANK RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70811-6041
Country : US
Telephone Number : 225-356-0654
Fax Number : 225-357-7936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2018
Last Update Date : 01/02/2018

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Directions to “ MR. JOHN CONVERSE MCKEY PD” Practice Location

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