Healthcare Provider Details

I. General information

NPI: 1518073824
Provider Name (Legal Business Name): OCHSNER PHARMACY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3205
  • Fax: 504-842-3141
Mailing address:
  • Phone: 504-842-3205
  • Fax: 504-842-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPHY000834IR
License Number StateLA

VIII. Authorized Official

Name: MR. BOBBY C BRANNON
Title or Position: EXECUTIVE VICE PRESIDENT & TREASURE
Credential:
Phone: 504-842-3400