Provider Demographics
NPI:1336841741
Name:OCHSNER PHARMACY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:OCHSNER PHARMACY AND WELLNESS, LLC
Other - Org Name:OCHSNER PHARMACY AND WELLNESS, ELMWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP CLINICAL RETAIL PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROVIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-842-8623
Mailing Address - Street 1:1221 S CLEARVIEW PKWY BLDG B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1011
Mailing Address - Country:US
Mailing Address - Phone:504-754-7261
Mailing Address - Fax:504-754-7502
Practice Address - Street 1:1221 S CLEARVIEW PKWY BLDG B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-1011
Practice Address - Country:US
Practice Address - Phone:504-754-7261
Practice Address - Fax:504-754-7502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER PHARMACY AND WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-20
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy