Pam Tassin, RPH
Individual provider Active NPI Pharmacist · Mansura, LA
NPI 1649679796 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1649679796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 015963 (LA)
- Practice address
- 7162 Highway 1
Mansura, LA 71350-4351 - Phone
- (318) 253-4075
- Fax
- (318) 253-9148
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015963 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015963 | LA | Yes |
Addresses
Primary practice location
7162 Highway 1
Mansura, LA 71350-4351
Mailing address
7162 Highway 1
Mansura, LA 71350-4351
Phone (318) 253-4075
Other providers in Mansura, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.