Provider Demographics
NPI:1629791983
Name:FERDAUSI, JANNATUL SAYADA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JANNATUL
Middle Name:SAYADA
Last Name:FERDAUSI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 HESSMER AVE
Mailing Address - Street 2:APT 116
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-333-1614
Mailing Address - Fax:
Practice Address - Street 1:3911 HESSMER AVE
Practice Address - Street 2:APT 116
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-333-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.024518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist