Healthcare Provider Details

I. General information

NPI: 1720398191
Provider Name (Legal Business Name): DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 LESSEP STREET
NEW ORLEANS LA
70117
US

IV. Provider business mailing address

PO BOX 4148
NEW ORLEANS LA
70178-4148
US

V. Phone/Fax

Practice location:
  • Phone: 504-941-6041
  • Fax:
Mailing address:
  • Phone: 504-207-3059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GRIFFIN
Title or Position: CBO MANAGER
Credential:
Phone: 504-482-2080