Provider Demographics
NPI:1467747550
Name:POWELL, AMBER HELEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:HELEN
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 HAMMOND SQUARE DR
Mailing Address - Street 2:T-2531
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-6156
Mailing Address - Country:US
Mailing Address - Phone:985-277-3204
Mailing Address - Fax:985-277-3213
Practice Address - Street 1:2030 HAMMOND SQUARE DR
Practice Address - Street 2:T-2531
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6156
Practice Address - Country:US
Practice Address - Phone:985-277-3204
Practice Address - Fax:985-277-3213
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist