Provider Demographics
NPI:1033898598
Name:CARONNA, SALVATORE PHILIP LARRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:PHILIP LARRY
Last Name:CARONNA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 HERRMANN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2320
Mailing Address - Country:US
Mailing Address - Phone:504-333-1743
Mailing Address - Fax:
Practice Address - Street 1:1405 JEFFERSON HWY STE A
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70121-2448
Practice Address - Country:US
Practice Address - Phone:504-842-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.024857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist