Individual
ANNETTE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8273
Mailing address
3921 JUPITER ST, SULPHUR, LA 70665-8073
(337) 794-8560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015637
LA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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