Provider Demographics
NPI:1205827524
Name:OGBUOKIRI, JUSTINA E (PHARM D, FASCP)
Entity Type:Individual
Prefix:DR
First Name:JUSTINA
Middle Name:E
Last Name:OGBUOKIRI
Suffix:
Gender:F
Credentials:PHARM D, FASCP
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:E
Other - Last Name:OGBUOKIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3701 W NAPOLEON AVE
Mailing Address - Street 2:APT 255
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2667
Mailing Address - Country:US
Mailing Address - Phone:504-251-9971
Mailing Address - Fax:314-762-0175
Practice Address - Street 1:4543 DOWNMAN RD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3744
Practice Address - Country:US
Practice Address - Phone:504-610-1184
Practice Address - Fax:504-246-4449
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA160231835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA16023OtherPHARMACY LICENSE