# TULANE-LAKESIDE HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780938464
- **Authorized official:** ED NGUYEN (PHARMACIST)
- **Authorized official phone:** (504) 780-4507

## Contact information

- **Practice address:** 4700 S I 10 SERVICE RD W, METAIRIE, LA 70001-1269
- **Practice address phone:** (504) 780-4507
- **Practice address fax:** (504) 780-4455
- **Mailing address:** 4700 S I 10 SERVICE RD W, METAIRIE, LA 70001-1269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | PHY.005554-HOS | LA | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 11/02/2012
