Provider Demographics
NPI:1972005114
Name:DO, NHI LAN XEXILIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:NHI LAN
Middle Name:XEXILIA
Last Name:DO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 PRIMROSE DR
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-4501
Mailing Address - Country:US
Mailing Address - Phone:504-388-8128
Mailing Address - Fax:
Practice Address - Street 1:4110 GENERAL DE GAULLE DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-8231
Practice Address - Country:US
Practice Address - Phone:504-433-3297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-04
Last Update Date:2018-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.022392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist