MEDICARE: SONIA OGEANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	PST.023301	LA

General Provider Information

NPI Number	:	1013752369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA OGEANI

Provider Business Mailing Address
First Line	:	2310 OGEA RD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70615-4307
Country	:	US
Telephone Number	:	337-442-4306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 COMMON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6135
Country	:	US
Telephone Number	:	337-429-2814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	06/27/2024

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Directions to “ SONIA OGEANI ” Practice Location

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