Healthcare Provider Details

I. General information

NPI: 1013568047
Provider Name (Legal Business Name): OCHSNER PHARMACY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 GAUSE BLVD STE 101
SLIDELL LA
70458-2951
US

IV. Provider business mailing address

1051 GAUSE BLVD STE 101
SLIDELL LA
70458-2951
US

V. Phone/Fax

Practice location:
  • Phone: 985-639-3726
  • Fax: 985-639-3729
Mailing address:
  • Phone: 985-639-3726
  • Fax: 504-842-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICHARD R ROVIRA
Title or Position: DIRECTOR RETAIL PHARMACY
Credential: PHARM D
Phone: 504-842-8623