Organization
MICHAEL P KULLMAN INC
Active
Other names
UPTOWN DELIVERY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI HAMILTON PD (PHARMACIST/MANAGER)
(504) 897-0141
Entity
Organization
Contact information
Practice address
741 NASHVILLE AVE, NEW ORLEANS, LA 70115-3226
(504) 897-0141
(504) 897-2689
Mailing address
741 NASHVILLE AVE, NEW ORLEANS, LA 70115-3226
(504) 897-0141
(504) 897-2689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001862-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255165
—
LA
01
—
2029021
PK
—
Enumeration date
08/31/2006
Last updated
01/18/2017
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