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NPI Code Detail

MEDICARE: MRS. ROCHELLE R GILLARD

MEDICARE: MRS. ROCHELLE R GILLARD
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
1183500000XPharmacistLA15386LA

General Provider Information

NPI Number : 1457666547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROCHELLE R GILLARD
Provider Business Mailing Address
First Line : 4420 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5947
Country : US
Telephone Number : 504-483-2486
Fax Number : 504-483-8862
Provider Business Practice Location Address
First Line : 4420 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5947
Country : US
Telephone Number : 504-483-2486
Fax Number : 504-483-8862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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Directions to “ MRS. ROCHELLE R GILLARD ” Practice Location

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