MEDICARE: DR. LAUREN ROSE FARSHAD CANTRELLE PHARMD

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	183500000X	Pharmacist	17383	LA

General Provider Information

NPI Number	:	1225396880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ROSE FARSHAD CANTRELLE PHARMD

Provider Business Mailing Address
First Line	:	8232 OAK ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-2042
Country	:	US
Telephone Number	:	504-866-3784
Fax Number	:

Provider Business Practice Location Address
First Line	:	8232 OAK ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-2042
Country	:	US
Telephone Number	:	504-866-3784
Fax Number	:

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

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	10/03/2014

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Directions to “ DR. LAUREN ROSE FARSHAD CANTRELLE PHARMD” Practice Location

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