Practicemd, INC.
Non-Pharmacy Dispensing Site in Shreveport, LA. Organization (NPI-2).
NPI number1063717841
StatusActive
Last updated in NPPESJan 25, 2011
Details
- NPI
- 1063717841
- Entity type
- Organization (NPI-2)
- Legal business name
- Practicemd, INC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2011
- Last updated
- Jan 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
242 Lynbrook BlvdShreveport, LA 71106-6548
Phone 318-841-4312 · Fax 318-841-4342
Mailing address
Po Box 6657Shreveport, LA 71136-6657
Phone 318-841-4312 · Fax 318-841-4342
Authorized official
Mike Byrd
C.O.O.
3188414312
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Non-Pharmacy Dispensing Site providers in Shreveport, LA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.