Individual
NICHOLAS DREW O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 893-9918
Mailing address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 893-9918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20175
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20175
PHARMACIST LICENSE NUMBER
LA
Enumeration date
07/08/2013
Last updated
07/08/2013
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