NORTHSHORE INTERVENTIONAL PAIN MANAGEMENT

COVINGTON, LA
NPI1144734153
Doing Business AsPREMIER PAIN CENTER
Entity TypeOrganization
Authorized ContactMACKENZIE HAHN
Ncpdp Coordinator
479-636-9702
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: LA  MD.020506)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
NORTHSHORE INTERVENTIONAL PAIN MANAGEMENT
7015 HWY 190 E SERVICE RD. STE 101
COVINGTON, LA 70433
Phone number: 479-636-9702
Mailing Address
NORTHSHORE INTERVENTIONAL PAIN MANAGEMENT
PO BOX 3328
BENTONVILLE, AR 72712
Phone number: 479-636-9702
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