Provider Demographics
NPI:1841956497
Name:OCHSNER PHARMACY AND WELLNESS LLC
Entity type:Organization
Organization Name:OCHSNER PHARMACY AND WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP RETAIL & SPECIALTY PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:INDOVINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-842-5623
Mailing Address - Street 1:11200 INDUSTRIPLEX BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-4112
Mailing Address - Country:US
Mailing Address - Phone:225-388-6200
Mailing Address - Fax:225-388-6217
Practice Address - Street 1:11200 INDUSTRIPLEX BLVD STE 160
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-4112
Practice Address - Country:US
Practice Address - Phone:225-388-6200
Practice Address - Fax:225-388-6217
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER PHARMACY AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-09
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy