Organization
OCHSNER PHARMACY AND WELLNESS LLC
Active
Other names
Ochsner Pharmacy and Wellness - Kenner
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROVIRA (DIRECTOR)
(504) 842-8623
Entity
Organization
Contact information
Practice address
200 W ESPLANADE AVE STE 106, KENNER, LA 70065-2473
(504) 464-8250
(504) 464-8251
Mailing address
1405 JEFFERSON HWY, JEFFERSON, LA 70121-2426
(504) 464-8250
(504) 464-8251
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-007340-RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162242
PK
—
Enumeration date
06/24/2016
Last updated
02/15/2017
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