Healthcare Provider Details

I. General information

NPI: 1730518457
Provider Name (Legal Business Name): CHIOMA CYNTHIA OBIH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 VETERANS MEMORIAL BLVD
METAIRIE LA
70002-5835
US

IV. Provider business mailing address

1 DREXEL DR
NEW ORLEANS LA
70125-1056
US

V. Phone/Fax

Practice location:
  • Phone: 504-456-4851
  • Fax:
Mailing address:
  • Phone: 504-520-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.020201
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: