Provider Demographics
NPI:1952870180
Name:CLRX NEW ORLEANS
Entity Type:Organization
Organization Name:CLRX NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-681-9885
Mailing Address - Street 1:2385 GAUSE BLVD E STE 11
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-6011
Mailing Address - Country:US
Mailing Address - Phone:504-681-9885
Mailing Address - Fax:504-910-9233
Practice Address - Street 1:2385 GAUSE BLVD E STE 11
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-6011
Practice Address - Country:US
Practice Address - Phone:504-681-9885
Practice Address - Fax:504-910-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy