Organization
PRIORITY HEALTH CARE
Active
Other names
Priority Health Care Pharmacy - Gretna
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA BOUTTE DIOUBATE MSW, MSHCM (CEO)
(504) 309-6522
Entity
Organization
Contact information
Practice address
12 WESTBANK EXPY, GRETNA, LA 70053-3647
(504) 509-5442
(504) 509-5421
Mailing address
4700 WICHERS DR STE 306, MARRERO, LA 70072-3054
(504) 309-6522
(504) 309-9307
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
05/17/2023
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