Healthcare Provider Details

I. General information

NPI: 1467473413
Provider Name (Legal Business Name): DHH OPH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 POYDRAS ST STE 1915
NEW ORLEANS LA
70112-1227
US

IV. Provider business mailing address

1450 POYDRAS ST STE 1915
NEW ORLEANS LA
70112-1227
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-5023
  • Fax: 504-568-8306
Mailing address:
  • Phone: 504-568-5023
  • Fax: 504-568-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPHY1287INX
License Number StateLA

VIII. Authorized Official

Name: LEAH MICHAEL
Title or Position: DIRECTOR OF PHARMACY
Credential: RPH
Phone: 504-568-5023