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PRACTICEMD INC. NPI 1063717841


NPI Information

NPI: 1063717841
Provider Name: PRACTICEMD, INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
242 LYNBROOK BLVD
SHREVEPORT, LA
ZIP 71106
Phone: (318) 841-4312
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PRACTICEMD, INC. is a non pharmacy dispensing site in Shreveport, LA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PRACTICEMD, INC. NPI is 1063717841. The provider is registered as an organization entity type.

The provider's business location address is:

242 LYNBROOK BLVD
SHREVEPORT, LA
ZIP 71106-548
Phone: (318) 841-4312
Fax: (318) 841-4342

The provider's authorized official is Mike Byrd .
The authorized official title is C.o.o. and has the following contact phone number (318) 841-4312.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 1/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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