Individual
MS. LISA L CHETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1106 STUMPF BLVD, GRETNA, LA 70053-3612
(504) 367-1506
Mailing address
1106 STUMPF BLVD, GRETNA, LA 70053-3612
(504) 367-1506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11401
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1252981
—
LA
01
—
1918208
NABP
LA
Enumeration date
11/10/2006
Last updated
07/08/2007
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