Individual
TAMMIE KOELZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2701 JOHNSTON ST, SUITE 200, LAFAYETTE, LA 70503-3263
(337) 234-0197
(337) 234-6939
Mailing address
2701 JOHNSTON ST, SUITE 200, LAFAYETTE, LA 70503-3263
(337) 234-0197
(337) 234-6939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03317053
OH
183500000X
Pharmacist
051.291424
IL
183500000X
Pharmacist
15384
AL
183500000X
Pharmacist
Primary
PST.021504
LA
183500000X
Pharmacist
T-010616
MS
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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