institution
Grafton Dermatology
Non-Pharmacy Dispensing Site in Houma, Louisiana
NPI 1710063391

Grafton Dermatology is a Non-Pharmacy Dispensing Site based in Houma, LA. Grafton Dermatology practices in Houma, LA. The NPI Number for Grafton Dermatology is 1710063391 and holds a License No. 022623 (Louisiana).

The current practice location address for Grafton Dermatology is 327 Bayou Gardens Blvd, Houma, LA and can be reached out via phone at 985-876-5000 and via fax at 985-876-5280.

Location: 327 Bayou Gardens Blvd, Houma, LA, 70364-1434
institution
Provider Profile Details
NPI Number
1710063391
Provider Name
Grafton Dermatology
Credential
Provider Entity Type
Organization
Address
327 Bayou Gardens Blvd, Houma, LA, 70364-1434
Phone Number
985-876-5000
Fax Number
985-876-5280
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932400 01 OTHER ID NUMBER-COMMERCIAL NUMBER
1484768 05 LA
1441953 05 LA
1687421 05 LA
institution
Provider Business Practice Location Address Details
Address
327 Bayou Gardens Blvd
City
State
Zip
70364-1434
Phone Number
985-876-5000
Fax Number
985-876-5280
person
Provider Business Mailing Address Details
Address
327 Bayou Gardens Blvd
City
State
Zip
70364-1434
Phone Number
985-876-5000
Fax Number
985-876-5280
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
022623 (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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