Individual
JANA GAIL TREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3710 YOUREE DR, SHREVEPORT, LA 71105-2130
(318) 841-6416
(318) 769-0809
Mailing address
10155 WESTWIND DR, SHREVEPORT, LA 71106-8290
(318) 773-5520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37023
TN
183500000X
Pharmacist
Primary
PST.019812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305841
—
LA
01
—
37023
TENNESSEE BOARD OF PHARMACY
TN
01
—
PST.019812
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
08/02/2012
Last updated
03/20/2024
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