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Northshore Interventional Pain Management
Non-Pharmacy Dispensing Site in Covington, Louisiana
NPI 1144734153

Northshore Interventional Pain Management is a Non-Pharmacy Dispensing Site based in Bentonville, LA. Northshore Interventional Pain Management practices in Covington, LA. The NPI Number for Northshore Interventional Pain Management is 1144734153 and holds a License No. MD.020506 (Louisiana).

The current practice location address for Northshore Interventional Pain Management is 7015 Hwy 190 E Service Rd., Covington, LA and can be reached out via phone at 479-636-9702 and via fax at 877-427-2307.

Location: 7015 Hwy 190 E Service Rd., Covington, LA, 72712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144734153
Provider Name
Northshore Interventional Pain Management
Credential
Provider Entity Type
Organization
Address
7015 Hwy 190 E Service Rd., Covington, LA, 72712
Phone Number
479-636-9702
Fax Number
877-427-2307
Provider Enumeration Date
11/29/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7015 Hwy 190 E Service Rd.
City
Covington
State
Louisiana
Zip
70433
Phone Number
479-636-9702
Fax Number
877-427-2307
person
Provider Business Mailing Address Details
Address
7015 Hwy 190 E Service Rd.
City
Covington
State
Louisiana
Zip
70433
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.020506 (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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