Provider Demographics
NPI:1578118030
Name:MESMAN, COURTNEY GENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:GENE
Last Name:MESMAN
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 1:3013 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4725
Mailing Address - Country:US
Mailing Address - Phone:504-487-4861
Mailing Address - Fax:
Practice Address - Street 1:12589 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-2501
Practice Address - Country:US
Practice Address - Phone:985-764-1158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.0230631835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care