Provider Demographics
NPI:1043426299
Name:MAJESTE'S ST CLAUDE PHARMACY INC
Entity Type:Organization
Organization Name:MAJESTE'S ST CLAUDE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JON
Authorized Official - Last Name:WENDLING
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:504-942-5792
Mailing Address - Street 1:3916 SAINT CLAUDE ST.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5454
Mailing Address - Country:US
Mailing Address - Phone:504-942-5792
Mailing Address - Fax:504-942-5795
Practice Address - Street 1:3916 SAINT CLAUDE ST.
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5454
Practice Address - Country:US
Practice Address - Phone:504-942-5792
Practice Address - Fax:504-942-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA57603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAFS0225551OtherPHARMACY DEA NUMBER