Individual
SAVANNAH LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1845 POPPS FERRY RD, BILOXI, MS 39532-2108
(228) 207-0505
Mailing address
7160 CRAZY HORSE DR, KILN, MS 39556-6032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100296
MS
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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