Individual
CHANCI BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6002
Mailing address
617 W 63RD ST, SHREVEPORT, LA 71106-2915
(318) 221-8411
(318) 424-6002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16711
LA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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