Leo Blaize Iii Md - Baton Rouge, LA

Leo Blaize Iii Md

Non-Pharmacy Dispensing Site in Baton Rouge, Louisiana

NPI 1952475311

Leo Blaize Iii Md is a Non-Pharmacy Dispensing Site based in Baton Rouge, LA. Leo Blaize Iii Md practices in Baton Rouge, LA. The NPI Number for Leo Blaize Iii Md is 1952475311 and holds a License No. 015394 (Louisiana).

The current practice location address for Leo Blaize Iii Md is 7777 Hennessy Blvd, Baton Rouge, LA and can be reached out via phone at 225-765-8829 and via fax at 225-765-8283.

Location: 7777 Hennessy Blvd, Baton Rouge, LA, 70808-4300

NPI Number

1952475311

Provider Name

Leo Blaize Iii Md

Credential

Provider Entity Type

Organization

Address

7777 Hennessy Blvd, Baton Rouge, LA, 70808-4300

Phone Number

225-765-8829

Fax Number

225-765-8283

Provider Enumeration Date

11/20/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
1932943	01		OTHER ID NUMBER
1932943	01		OTHER ID NUMBER-COMMERCIAL NUMBER

Address

7777 Hennessy Blvd

City

Baton Rouge

State

Louisiana

Zip

70808-4300

Phone Number

225-765-8829

Fax Number

225-765-8283

Address

7777 Hennessy Blvd

City

Baton Rouge

State

Louisiana

Zip

70808-4300

Phone Number

225-765-8829

Fax Number

225-765-8283

Type

Suppliers

Classification

Non-Pharmacy Dispensing Site

Speciality

Taxonomy

332900000X

License No.

015394 (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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