Individual
LOREE ASHLEY LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
PO BOX 3971, PINEVILLE, LA 71361-3971
(318) 613-4795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18572
LA
Other
Enumeration date
06/25/2008
Last updated
09/10/2008
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