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Bryan G Frentz - A Professional Medical Corporation
Non-Pharmacy Dispensing Site in Morgan City, Louisiana
NPI 1295261519

Bryan G Frentz - A Professional Medical Corporation is a Non-Pharmacy Dispensing Site based in Lafayette, LA. Bryan G Frentz - A Professional Medical Corporation practices in Morgan City, LA. The NPI Number for Bryan G Frentz - A Professional Medical Corporation is 1295261519 and holds a License No. MD.024773 (Louisiana).

The current practice location address for Bryan G Frentz - A Professional Medical Corporation is 1151 Marguerite St, Morgan City, LA and can be reached out via phone at 985-221-4320.

Location: 1151 Marguerite St, Morgan City, LA, 70508-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295261519
Provider Name
Bryan G Frentz - A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
1151 Marguerite St, Morgan City, LA, 70508-6601
Phone Number
985-221-4320
Fax Number
Provider Enumeration Date
05/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7633960001 01 MEDICARE NSC
institution
Provider Business Practice Location Address Details
Address
1151 Marguerite St
City
Morgan City
State
Louisiana
Zip
70380-1850
Phone Number
985-221-4320
Fax Number
person
Provider Business Mailing Address Details
Address
1151 Marguerite St
City
Morgan City
State
Louisiana
Zip
70380-1850
Phone Number
985-221-4320
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
MD.024773 (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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