Nickelson, Gena Lagrange

Nickelson, Gena Lagrange is an individual health care provider with primary practice located at 1544 Manhattan Blvd , Harvey LA 70058-3406. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Nickelson, Gena Lagrange can be contacted via phone (504) 362-7780.

Contact Information

Primary practice address
1544 Manhattan Blvd Harvey LA 70058-3406
Fax: (504) 368-9351
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17281 Louisiana

Profile Details

NPI number 1679888614
LBN Legal business name Nickelson, Gena Lagrange
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2010
Last updated Aug 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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