Individual
DR. NICOLE THERESA FABRE-LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
977 N CARROLLTON AVE, NEW ORLEANS, LA 70119-3741
(504) 486-4613
(504) 842-5473
Mailing address
977 N CARROLLTON AVE, NEW ORLEANS, LA 70119-3741
(504) 486-4613
(504) 842-5473
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
16013
LA
1835P1200X
Pharmacotherapy Pharmacist
16013
LA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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