NPI 1003022492

Ignatius Nnadiotu

Practitioner Pharmacist Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 221-8411
Fax: (318) 429-5721
Mailing address: 3601 Dee St Apartment 1817, Shreveport, LA 71105-2649

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18114 (LA)

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Registry record

NPI: 1003022492
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.