Individual
CONNIE MABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GULF ST, COUSHATTA, LA 71019-9014
(318) 932-5727
(318) 932-5630
Mailing address
100 GULF ST, P.O. BOX 609, COUSHATTA, LA 71019-9014
(318) 932-5727
(318) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15699
LA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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