NPI 1407461593

Scott G Petrie MD Apmc

Organisation Non-Pharmacy Dispensing Site Gonzales, LA

Practice location

Address: 1014 West St Clare Boulevard STE 1020, Gonzales, LA 70737
Phone: (225) 743-2008
Fax: (225) 743-2010
Mailing address: 200 Rittenhouse Circle East Building STE 5, Bristol, PA 19007

Authorised official

Name: Mackenzie Hahn
Title: Ncpdp Coordinator
Phone: (888) 590-0808

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1407461593
Entity type: Organization
NPI issued: 15 Sep 2020
Record last updated: 15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.