Provider Demographics
NPI:1982218392
Name:OCHSNER PHARMACY AND WELLNESS LLC
Entity Type:Organization
Organization Name:OCHSNER PHARMACY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP- RETAIL PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROVIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:504-842-8623
Mailing Address - Street 1:2500 BELLE CHASSE HWY STE T1224
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7127
Mailing Address - Country:US
Mailing Address - Phone:504-595-8180
Mailing Address - Fax:504-595-8181
Practice Address - Street 1:2500 BELLE CHASSE HWY STE T1224
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7127
Practice Address - Country:US
Practice Address - Phone:504-595-8180
Practice Address - Fax:504-595-8181
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER PHARMACY AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy