Emmanuel Oduro, PHARMD
Individual provider Active NPI Pharmacist · New Iberia, LA
NPI 1780191171 · NPPES record last updated Jan 7, 2018
Key facts
- NPI
- 1780191171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 022327 (LA)
- Practice address
- 1017 E Admiral Doyle Dr
New Iberia, LA 70560-6710 - Phone
- (337) 367-7979
- NPI assigned
- Jan 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022327 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Oduro LLC | Pharmacist | Current | Accepting new patients |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022327 | LA | Yes |
Addresses
Primary practice location
1017 E Admiral Doyle Dr
New Iberia, LA 70560-6710
Mailing address
1017 Kaliste Saloom Rd # 608
Lafayette, LA 70508-4903
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.