Rebecca Falcon

Individual provider Active NPI Pharmacy Technician · Addis, LA

NPI 1861939142 · NPPES record last updated Jan 25, 2017

Key facts

NPI
1861939142
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
008594 (LA)
Practice address
5341 Myrle St
Addis, LA 70710-2422
Phone
(225) 385-3874
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
008594LAMDPharmacy Technician
0230029553VAMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 008594 LA Yes
Pharmacy Technician 183700000X 0230029553 VA

Addresses

Primary practice location

5341 Myrle St
Addis, LA 70710-2422

Mailing address

5341 Myrle St
Addis, LA 70710-2422
Phone (225) 385-3874

Other providers in Addis, LA

All providers in Addis, LA · Pharmacy Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.