Provider Demographics
NPI:1982705794
Name:ANCAR, MAUREEN G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:G
Last Name:ANCAR
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 1:11006 N HARDY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2838
Mailing Address - Country:US
Mailing Address - Phone:504-430-0693
Mailing Address - Fax:
Practice Address - Street 1:5400 TCHOUPITOULAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2020
Practice Address - Country:US
Practice Address - Phone:504-899-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist