Paul Van Deventer Md Apmc
Non-pharmacy Dispensing Site
1200 Pinnacle Pkwy Ste 3, Covington
Louisiana, 70433-9169
479-636-9702 877-427-2307
Paul Van Deventer Md Apmc is not a DME supplier for medicare equipments and products.
Paul Van Deventer Md Apmc is a Non-pharmacy Dispensing Site in Covington, Louisiana. It is located at 1200 Pinnacle Pkwy Ste 3, Covington and it's customer support contact number is 479-636-9702. The authorized person of Paul Van Deventer Md Apmc is Mackenzie Hahn who is Ncpdp Coordinator of the pharmacy and his contact number is 479-636-9702. Active license number of Paul Van Deventer Md Apmc is MD.025612 for Non-pharmacy Dispensing Site in Louisiana.
Paul Van Deventer Md Apmc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Paul Van Deventer Md Apmc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Paul Van Deventer Md Apmc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1200 Pinnacle Pkwy Ste 3, Covington, Louisiana, 70433-9169 |
| Phone: | 479-636-9702 |
| Fax: | 877-427-2307 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mackenzie Hahn |
| Position: | Ncpdp Coordinator |
| Contact Number: | 479-636-9702 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1104337559 |
| NPI Enumeration Date: | 12 Oct, 2017 |
| NPI Last Update On: | 16 Nov, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Van Deventer Md Apmc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | MD.025612 | Louisiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 3328, Bentonville, Arkansas |
| Zip: | 72712 |
| Phone Number: | 479-636-9702 |
| Fax Number: | 877-427-2307 |
Patients can reach Paul Van Deventer Md Apmc at
1200 Pinnacle Pkwy Ste 3, Covington, Louisiana or can
call on customer care at 479-636-9702.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.