Individual
DEBRA ANN TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5020
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14056
LA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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