Provider Demographics
NPI:1528121589
Name:OAKVIEW PHARMACY
Entity type:Organization
Organization Name:OAKVIEW PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHETTA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:504-367-1506
Mailing Address - Street 1:1106 STUMPF BLVD
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3612
Mailing Address - Country:US
Mailing Address - Phone:504-367-1506
Mailing Address - Fax:
Practice Address - Street 1:1106 STUMPF BLVD
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3612
Practice Address - Country:US
Practice Address - Phone:504-367-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1600 IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1918208OtherNCPDP
LA1252981Medicaid