Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTOVWE EDUVIE-KELLAR PHARMD (CLINICAL PHARMACIST)
(504) 669-5309
Entity
Organization
Contact information
Practice address
8912 VETERANS BLVD, METAIRIE, LA 70003
(504) 465-0171
Mailing address
4808 ODIN ST, NEW ORLEANS, LA 70126-2322
(504) 669-5309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019014
LA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
019014
LA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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