Organization
ODYSSEY HOUSE LOUISIANA, INC
Active
Parent organization
ODYSSEY HOUSE LOUISIANA, INC
Other names
Odyssey House Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODYSSEY HOUSE LOUISIANA, INC
Authorized official
AMY BRIGGS BOSWORTH (PROGRAM DIRECTOR)
(504) 821-9211
Entity
Organization
Contact information
Practice address
2700 S BROAD ST STE A, NEW ORLEANS, LA 70125-1953
(504) 384-2687
(504) 269-3522
Mailing address
PO BOX 19576, NEW ORLEANS, LA 70179-0576
(504) 384-2687
(504) 269-3522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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