Provider Demographics
NPI:1790361228
Name:JEANMARIE, ALYSSA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:JEANMARIE
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 1:4626 PERELLI DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3524
Mailing Address - Country:US
Mailing Address - Phone:504-228-4843
Mailing Address - Fax:
Practice Address - Street 1:8101 W JUDGE PEREZ DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-1661
Practice Address - Country:US
Practice Address - Phone:504-278-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist