Provider Demographics
NPI:1548734874
Name:APOTHECARE PHARMACY BATON ROUGE
Entity Type:Organization
Organization Name:APOTHECARE PHARMACY BATON ROUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIPPE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUCHEU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:225-490-0420
Mailing Address - Street 1:2370 TOWNE CENTER BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-8172
Mailing Address - Country:US
Mailing Address - Phone:225-490-0420
Mailing Address - Fax:225-246-2694
Practice Address - Street 1:2370 TOWNE CENTER BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8172
Practice Address - Country:US
Practice Address - Phone:225-490-0420
Practice Address - Fax:225-246-2694
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APOTHECARE PHARMACY BATON ROUGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy