Individual
DR. IRA CONRAD AUSTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8232 OAK ST, NEW ORLEANS, LA 70118-2042
(504) 866-7979
Mailing address
8232 OAK ST, NEW ORLEANS, LA 70118-2042
(504) 866-7979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017200
LA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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