is a Pharmacist in Slidell, Louisiana. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for is 1548372659. The last update date is .
's current location address is 3030 Pontchartrain Dr, Slidell, Louisiana. You can contact this provider via phone number 9856450624 and fax number 9856450847. The mailing address for is 3030 Pontchartrain Dr, Slidell, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3030 Pontchartrain Dr, Slidell, Louisiana |
| Phone Number | 9856450624 |
| Fax Number | 9856450847 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548372659 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3030 Pontchartrain Dr |
|---|---|
| City | Slidell |
| State | Louisiana (LA) |
| Post Code | 704584352 |
| Phone Number | 9856450624 |
| Fax Number | 9856450847 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10597 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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