Individual
OSARO ANTONY OMOFOMWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 CAROL SUE AVE, GRETNA, LA 70056-4445
(504) 366-1535
Mailing address
2228 TIMBERS DR, HARVEY, LA 70058-2228
(504) 799-9581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025738
LA
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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