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NORTHLAKE PHARMACY INC

Medical Equipment Supplier Yellow Pages

Covington, Louisiana

Provider NPI: 1588896245

Organization Information:
Organization Name:  NORTHLAKE PHARMACY INC


Practice Location:
7047 HIGHWAY 190 EAST SERVICE RD EAST SERVICE ROAD COVINGTON, LA 70433 US
Tel: 985-327-0594  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
LAPHY006184IR

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER193468201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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