Individual
LATIS MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
366 LEIGH LN, STONEWALL, LA 71078-5414
(318) 422-4244
Mailing address
366 LEIGH LN, STONEWALL, LA 71078-5414
(318) 422-4244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16562
LA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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