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General NPI Number Information
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NPI Number | 1154887891
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Entity Type | Organization
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Legal Business Name | NOLA DISCOUNT PHARMACY OF DESTREHAN, LLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3001 ORMOND BLVD STE C
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City | DESTREHAN
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State | LA
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Zip | 70047-2545
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Country | US
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Telephone | 985-307-0800
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Fax | 985-307-0808
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Provider Business Mailing Address
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Address Line | 3001 ORMOND BLVD STE C
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City | DESTREHAN
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State | LA
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Zip | 70047-2545
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Country | US
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Telephone | 985-307-0800
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Fax | 985-307-0808
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. VICTORIA LOVE CERNIGLIA
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Credential | CPHT
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Telephone | 504-835-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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