Individual
HALEIGH DOCKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
280 SAN ANTONIO AVE, MANY, LA 71449-3011
(318) 590-9821
(318) 590-9827
Mailing address
266 RAE RD, MANY, LA 71449-6906
(318) 780-4961
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PST.023983
LA
390200000X
Student in an Organized Health Care Education/Training Program
PNT.048506
LA
Other
Enumeration date
06/16/2021
Last updated
08/10/2021
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