Organization
UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
Active
Other names
Interim LSU Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY NUESSLEIN (CEO)
(504) 903-3000
Entity
Organization
Contact information
Practice address
1400 POYDRAS STREET, NEW ORLEANS, LA 70112-2821
(504) 903-1991
(504) 903-1987
Mailing address
1400 POYDRAS STREET, NEW ORLEANS, LA 70112-2821
(504) 903-1991
(504) 903-1987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006727-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141336
PK
—
Enumeration date
05/24/2007
Last updated
08/02/2013
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