Provider Demographics
NPI:1669584421
Name:LANDRY, AMBER STEVENS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:STEVENS
Last Name:LANDRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12347 TROYVILLE ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2055
Mailing Address - Country:US
Mailing Address - Phone:225-294-9233
Mailing Address - Fax:
Practice Address - Street 1:1001 HIGHWAY 190 EAST SERVICE RD
Practice Address - Street 2:SUITE 132
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4963
Practice Address - Country:US
Practice Address - Phone:985-893-7112
Practice Address - Fax:985-893-6712
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist