Elliott Amedee, PHARMD

Individual provider Active NPI Pharmacist · Baton Rouge, LA

NPI 1962859413 · NPPES record last updated May 14, 2016

Key facts

NPI
1962859413
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PST.021555 (LA)
Practice address
11080 Greenwell Springs Rd
Baton Rouge, LA 70814-7001
Phone
(225) 273-6525
NPI assigned
May 14, 2016
Sex
Male
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PST.021555LAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.021555 LA Yes

Addresses

Primary practice location

11080 Greenwell Springs Rd
Baton Rouge, LA 70814-7001

Mailing address

11080 Greenwell Springs Rd
Baton Rouge, LA 70814-7001
Phone (225) 273-6525

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Pharmacist in Louisiana

Sources for this page

Verify at the official NPI Registry.