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Paul Van Deventer Md Apmc
Non-Pharmacy Dispensing Site in Covington, Louisiana
NPI 1104337559

Paul Van Deventer Md Apmc is a Non-Pharmacy Dispensing Site based in Bentonville, LA. Paul Van Deventer Md Apmc practices in Covington, LA. The NPI Number for Paul Van Deventer Md Apmc is 1104337559 and holds a License No. MD.025612 (Louisiana).

The current practice location address for Paul Van Deventer Md Apmc is 1200 Pinnacle Pkwy Ste 3, Covington, LA and can be reached out via phone at 479-636-9702 and via fax at 877-427-2307.

Location: 1200 Pinnacle Pkwy Ste 3, Covington, LA, 72712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104337559
Provider Name
Paul Van Deventer Md Apmc
Credential
Provider Entity Type
Organization
Address
1200 Pinnacle Pkwy Ste 3, Covington, LA, 72712
Phone Number
479-636-9702
Fax Number
877-427-2307
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 Pinnacle Pkwy Ste 3
City
Covington
State
Louisiana
Zip
70433-9169
Phone Number
479-636-9702
Fax Number
877-427-2307
person
Provider Business Mailing Address Details
Address
1200 Pinnacle Pkwy Ste 3
City
Covington
State
Louisiana
Zip
70433-9169
Phone Number
479-636-9702
Fax Number
877-427-2307
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
MD.025612 (Louisiana)
Definition
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.)
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