Individual
GLENN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 HOMER RD, MINDEN, LA 71055-2910
(318) 377-0131
(318) 377-5681
Mailing address
606 HOMER RD, MINDEN, LA 71055-2910
(318) 377-0131
(318) 377-5681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11017
LA
Other
Enumeration date
09/19/2011
Last updated
09/24/2011
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