Pharmaceutical Specialties, LLC

NPI #1083830517 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1083830517
Entity Type: Organization
Organization Name: Pharmaceutical Specialties, LLC
Primary Specialty: Pharmacist
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5211 ESSEN LN
Address 2: SUITE 3
City: Baton Rouge
State: Louisiana
ZIP Code: 70809-3564
Phone: (225) 767-1655

Authorized Official

Name: MICHAEL MARIST BOURG, PHARM.D.
Title: CO-OWNER
Phone: (225) 767-1655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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