Individual
LEI SMELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 ONTARIO AVE, BOGALUSA, LA 70427-2610
(985) 732-7677
Mailing address
401 ONTARIO AVE, BOGALUSA, LA 70427-2610
(985) 732-7677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018055
LA
183500000X
Pharmacist
E-010157
MS
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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