Provider Demographics
NPI:1477868529
Name:VICKNAIR, HELEAH MARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HELEAH
Middle Name:MARIA
Last Name:VICKNAIR
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:PO BOX 3028
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-3028
Mailing Address - Country:US
Mailing Address - Phone:504-400-2088
Mailing Address - Fax:
Practice Address - Street 1:725 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2803
Practice Address - Country:US
Practice Address - Phone:504-837-8522
Practice Address - Fax:504-830-2936
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist