Provider Demographics
NPI:1295156362
Name:DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS
Entity type:Organization
Organization Name:DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-207-3060
Mailing Address - Street 1:PO BOX 4148
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70178-4148
Mailing Address - Country:US
Mailing Address - Phone:504-207-3060
Mailing Address - Fax:504-483-6016
Practice Address - Street 1:5630 READ BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-248-5357
Practice Address - Fax:504-248-5377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy