Individual
JUANITA JOY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1717 OAK PARK BLVD STE 110, LAKE CHARLES, LA 70601-8977
(337) 494-2990
(337) 494-2550
Mailing address
1121 TIMBERLAWN DR, LAKE CHARLES, LA 70605-4341
(337) 358-0323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16015
LA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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