Individual
CANDACE PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5300 VETERANS BLVD, METAIRIE, LA 70003
(504) 456-4851
Mailing address
5300 VETERANS BLVD, METAIRIE, LA 70003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021823
LA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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