Provider Demographics
NPI:1609151521
Name:GEORGE, JOSEPH RICKY R SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICKY R
Last Name:GEORGE
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6936 W LAVERNE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-2509
Mailing Address - Country:US
Mailing Address - Phone:150-428-9716
Mailing Address - Fax:150-424-3965
Practice Address - Street 1:5004 W ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2551
Practice Address - Country:US
Practice Address - Phone:504-888-9000
Practice Address - Fax:504-888-7601
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist