M V John M D LLC
NPI #1376054726 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1376054726
- Entity Type
- Organization
- Organization Name
- M V John M D LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Nov 15, 2017
Practice Location
- Address
- 4021 W E HECK CT.
- Address 2
- BUILDING M-1
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816
- Phone
- (479) 636-9702
Authorized Official
- Name
- MACKENZIE HAHN
- Title
- NCPDP COORDINATOR
- Phone
- (479) 636-9702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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