Individual
NATHANIEL EKEZIE OZURUMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 SAINT NAZAIRE RD, BROUSSARD, LA 70518-4202
(337) 837-1640
Mailing address
105 SAINT NAZAIRE RD, BROUSSARD, LA 70518-4202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022452
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.022452
PHARMACIST LICENSE
LA
Enumeration date
05/12/2018
Last updated
01/05/2023
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