Green, David Taggart

Green, David Taggart is an individual health care provider with primary practice located at 2880 Highway 190 , Mandeville LA 70471-3254. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Green, David Taggart can be contacted via phone (985) 624-8548.

Contact Information

Primary practice address
2880 Highway 190 Mandeville LA 70471-3254
Phone: (985) 624-8548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14380 Louisiana
Pharmacy Service Providers / Pharmacist 183500000X PST.014380 Louisiana

Profile Details

NPI number 1124228283
LBN Legal business name Green, David Taggart
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Dec 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124228283 NPPES
Louisiana MEDICAID 1894656

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