Provider Demographics
NPI:1629677133
Name:HEALTHLOGIC PHARMACY NOLA LLC
Entity Type:Organization
Organization Name:HEALTHLOGIC PHARMACY NOLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GENERES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-978-3336
Mailing Address - Street 1:3117 7TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-2049
Mailing Address - Country:US
Mailing Address - Phone:504-399-8889
Mailing Address - Fax:504-266-2356
Practice Address - Street 1:3117 7TH ST STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-2049
Practice Address - Country:US
Practice Address - Phone:504-399-8889
Practice Address - Fax:504-266-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy