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Individual

GENA M. TERRITO-TYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
4115 JEFFERSON HWY, NEW ORLEANS, LA 70121-1533
(504) 842-1900
(504) 842-1901
Mailing address
2268 SUNSET BLVD, SLIDELL, LA 70461-5604
(504) 914-7002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16166
LA

Other

Enumeration date
08/11/2009
Last updated
07/11/2019
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