Individual
MISS NICOLE L HERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7540 W JUDGE PEREZ DR, ARABI, LA 70032-1915
(504) 279-0446
(504) 278-2388
Mailing address
7540 W JUDGE PEREZ DR, ARABI, LA 70032-1915
(504) 279-0446
(504) 278-2388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019132
LOUISIANA BOARD OF PHARMACY LICENSE
LA
05
—
2123432
—
LA
Enumeration date
10/04/2011
Last updated
10/04/2011
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