Provider Demographics
NPI:1699947754
Name:NERO, SCARLETT THERESA (PHARMD)
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:THERESA
Last Name:NERO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SCARLETT
Other - Middle Name:NERO
Other - Last Name:TREVIGNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3113 JASON LN
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8627
Mailing Address - Country:US
Mailing Address - Phone:504-236-3545
Mailing Address - Fax:
Practice Address - Street 1:437 GRAND CAILLOU RD
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-5165
Practice Address - Country:US
Practice Address - Phone:985-876-5410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist