# IDEAL PHARMACY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ESPLANADE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417010042
- **Authorized official:** CONRAD CHARLES (MANAGER)
- **Authorized official phone:** (504) 523-4103

## Contact information

- **Practice address:** 1400 ESPLANADE AVE, NEW ORLEANS, LA 70116-1803
- **Practice address phone:** (504) 523-4103
- **Practice address fax:** (504) 523-5910
- **Mailing address:** 1400 ESPLANADE AVE, NEW ORLEANS, LA 70116-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6007IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 11/21/2008
