MEDICARE: OCHSNER PHARMACY AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	PHY-007179-RC	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2154892	OTHER		PK

General Provider Information

NPI Number	:	1295105617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER PHARMACY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	13100 RIVER RD
Second Line	:	SUITE 110
City	:	DESTREHAN
State	:	LA
Zip	:	70047-5219
Country	:	US
Telephone Number	:	985-240-4610
Fax Number	:	985-240-4616

Provider Business Practice Location Address
First Line	:	13100 RIVER RD STE 110
Second Line	:
City	:	DESTREHAN
State	:	LA
Zip	:	70047-5216
Country	:	US
Telephone Number	:	985-240-4610
Fax Number	:	985-240-4616

Authorized Official
Title or Position	:	EVP AND COO
Name	:	MICHAEL HULEFELD
Credential	:
Telephone Number	:	504-842-5898

Provider Enumeration Date	:	09/28/2015
Last Update Date	:	02/15/2017

Similar Medicare Providers

1619966900 — DEANNA S ELSEA MD
Practice Location Address:

13100 RIVER RD STE 120
DESTREHAN, LA
70047-5216

Practice Phone: 985-764-7669
Practice Fax:

1104430552 — ROBERT NATHAN SMITH NP
Practice Location Address:

13100 RIVER RD STE 100
DESTREHAN, LA
70047-5216

Practice Phone: 985-235-0010
Practice Fax: 985-764-1310

1447253430 — MELANIE ANDREWS DDS
Practice Location Address:

103 PLANTATION RD
DESTREHAN, LA
70047-3016

Practice Phone: 985-764-1148
Practice Fax: 985-725-1877

1811991748 — THOMAS BABIN MD
Practice Location Address:

141 ORMOND CENTER CT
DESTREHAN, LA
70047-2548

Practice Phone: 985-764-7337
Practice Fax: 985-764-5333

1629072558 — DOLLEEN LICCIARDI MD
Practice Location Address:

141 ORMOND CENTER CT
DESTREHAN, LA
70047-2548

Practice Phone: 985-764-7337
Practice Fax: 985-764-5333

1629041777 — SIDNEY H RAYMOND MD
Practice Location Address:

13100 RIVER RD , SUITE 120
DESTREHAN, LA
70047-5219

Practice Phone: 985-764-7669
Practice Fax: 985-764-7234

Directions to “OCHSNER PHARMACY AND WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.