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NPI Code Detail

MEDICARE: DR. IRA CONRAD AUSTIN III PHARMD

MEDICARE:  DR. IRA CONRAD AUSTIN III PHARMD
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
1183500000XPharmacist017200LA

General Provider Information

NPI Number : 1457824864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRA CONRAD AUSTIN III PHARMD
Provider Business Mailing Address
First Line : 8232 OAK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-2042
Country : US
Telephone Number : 504-866-7979
Fax Number :
Provider Business Practice Location Address
First Line : 8232 OAK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-2042
Country : US
Telephone Number : 504-866-7979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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Directions to “ DR. IRA CONRAD AUSTIN III PHARMD” Practice Location

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