Healthcare Provider Details

I. General information

NPI: 1205827524
Provider Name (Legal Business Name): JUSTINA E. OGBUOKIRI PHARM. D., FASCP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: DR. TINA E. OGBUOKIRI

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4543 DOWNMAN RD SUITE A
NEW ORLEANS LA
70126-3744
US

IV. Provider business mailing address

3701 W NAPOLEON AVE APT 255
METAIRIE LA
70001-2667
US

V. Phone/Fax

Practice location:
  • Phone: 504-610-1184
  • Fax: 504-246-4449
Mailing address:
  • Phone: 504-251-9971
  • Fax: 314-762-0175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16023
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: