Provider Demographics
NPI:1386926277
Name:BOSSIER, MEGAN RENEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:RENEE
Last Name:BOSSIER
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 1:820 W ESPLANADE AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2757
Mailing Address - Country:US
Mailing Address - Phone:504-467-8413
Mailing Address - Fax:504-467-9943
Practice Address - Street 1:3700 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-4708
Practice Address - Country:US
Practice Address - Phone:504-488-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist