Individual
AMY AUTHEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1870 AIRLINE DR, BOSSIER CITY, LA 71112-2702
(318) 746-8401
(318) 746-8402
Mailing address
1870 AIRLINE DR, BOSSIER CITY, LA 71112-2702
(318) 746-8401
(318) 746-8402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021033
LA
183500000X
Pharmacist
45786
TX
Other
Enumeration date
06/26/2011
Last updated
10/28/2015
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