Individual
LARRY W DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5736 CITRUS BLVD STE 103, NEW ORLEANS, LA 70123-7601
(504) 340-5221
(504) 340-5228
Mailing address
1481 LAKESHORE BLVD, SLIDELL, LA 70461
(504) 616-6709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST-011968
LA
183500000X
Pharmacist
T-010455
MS
Other
Enumeration date
04/13/2011
Last updated
09/08/2025
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