Individual
INEZ MARIE VICTORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4837 TRENTON ST, METAIRIE, LA 70006-6417
(888) 958-0424
Mailing address
4837 TRENTON ST, METAIRIE, LA 70006-6417
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12016
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
918128
NPI TYPE I
LA
Enumeration date
01/30/2007
Last updated
10/13/2022
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