Provider Demographics
NPI:1366597080
Name:COATES, DARLA P I (CPHT)
Entity type:Individual
Prefix:MRS
First Name:DARLA
Middle Name:P
Last Name:COATES
Suffix:I
Gender:F
Credentials:CPHT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5037 HASTINGS ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2537
Mailing Address - Country:US
Mailing Address - Phone:504-887-9354
Mailing Address - Fax:504-887-9354
Practice Address - Street 1:3838 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1767
Practice Address - Country:US
Practice Address - Phone:504-681-8884
Practice Address - Fax:504-681-2561
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA2013183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician