Provider Demographics
NPI:1184939399
Name:OLIVER, RHONDA DAWSON
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:DAWSON
Last Name:OLIVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2504
Mailing Address - Country:US
Mailing Address - Phone:504-568-1271
Mailing Address - Fax:504-568-9210
Practice Address - Street 1:900 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2504
Practice Address - Country:US
Practice Address - Phone:504-568-1271
Practice Address - Fax:504-568-9210
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST 010180183500000X
LA11866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist