Individual
MRS. ELIZABETH HAYDEL BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 STATE STREET, REGION III PHARMACY, NEW ORLEANS, LA 70118
(504) 896-2671
(504) 896-2675
Mailing address
11031 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2815
(504) 251-1917
(504) 896-2675
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
13702
LA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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