Individual
MUSTAFA BENRAHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2825 RYAN ST, LAKE CHARLES, LA 70601-7329
(337) 494-1590
(337) 437-7639
Mailing address
2700 ERNEST ST APT 345, LAKE CHARLES, LA 70601-8479
(504) 931-6551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020907
LA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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