Healthcare Provider Details

I. General information

NPI: 1750200432
Provider Name (Legal Business Name): AHMED YAKOUT MOSTAFA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 S CARROLLTON AVE
NEW ORLEANS LA
70118-4708
US

IV. Provider business mailing address

17 OSBORNE AVE
KENNER LA
70065-3107
US

V. Phone/Fax

Practice location:
  • Phone: 504-488-1110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026257
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: