Provider Demographics
NPI:1255652566
Name:BEAN, BRANDI (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:BEAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 PARRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-1265
Mailing Address - Country:US
Mailing Address - Phone:504-243-9462
Mailing Address - Fax:504-243-9462
Practice Address - Street 1:1133 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2023
Practice Address - Country:US
Practice Address - Phone:504-865-1111
Practice Address - Fax:504-865-1281
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist