Healthcare Provider Details

I. General information

NPI: 1326130865
Provider Name (Legal Business Name): ANNETTE CIULLA BARRIOS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY COUMADIN CLINIC 3RD FLR ATRIUM
NEW ORLEANS LA
70121-2429
US

IV. Provider business mailing address

404 RED PLUM
MADISONVILLE LA
70447
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-6419
  • Fax:
Mailing address:
  • Phone: 504-481-6382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16156
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: