Provider Demographics
NPI:1255433827
Name:GERACI-ISBELL, B.J. (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:B.J.
Middle Name:
Last Name:GERACI-ISBELL
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 1:1438 HIGHWAY 39
Mailing Address - Street 2:
Mailing Address - City:BRAITHWAITE
Mailing Address - State:LA
Mailing Address - Zip Code:70040-1814
Mailing Address - Country:US
Mailing Address - Phone:504-512-2907
Mailing Address - Fax:504-682-4200
Practice Address - Street 1:3300 PARIS RD
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-2259
Practice Address - Country:US
Practice Address - Phone:504-271-4665
Practice Address - Fax:504-271-4697
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0556050204Medicare ID - Type Unspecified