Provider Demographics
NPI:1497960439
Name:PATTERSON, DANA DELGADO (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:DELGADO
Last Name:PATTERSON
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 288
Mailing Address - Street 2:199 LANDECHE LANE
Mailing Address - City:HAHNVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70057-0288
Mailing Address - Country:US
Mailing Address - Phone:985-783-0873
Mailing Address - Fax:
Practice Address - Street 1:13500 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:BOUTTE
Practice Address - State:LA
Practice Address - Zip Code:70039-3500
Practice Address - Country:US
Practice Address - Phone:985-331-1866
Practice Address - Fax:985-331-8256
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist