Individual
DERRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
260 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5603
(337) 214-6401
Mailing address
PO BOX 867, LUTCHER, LA 70071-0867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022248
LA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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