Healthcare Provider Details

I. General information

NPI: 1831594092
Provider Name (Legal Business Name): OCHSNER PHARMACY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 12/20/2016
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

PO BOX 54696
NEW ORLEANS LA
70154-4696
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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY06995RC
License Number StateLA

VIII. Authorized Official

Name: MICHAEL HULEFELD
Title or Position: EVP AND COO
Credential:
Phone: 504-842-5898