Individual
DEMI MARIA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
436 LAPALCO BLVD, GRETNA, LA 70056-7335
(504) 393-7000
Mailing address
2917 WOODS DR, VIOLET, LA 70092-4009
(504) 579-6391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024835
LA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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