Individual
DR. SONDRA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 W PINE ST., PONCHATOULA, LA 70454
(985) 386-6132
Mailing address
28469 LOIRET COURT, PONCHATOULA, LA 70454
(225) 408-9957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020327
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002266
MA. MEDICATION ADMINISTRATION
LA
01
—
020327
PST. PHARMACIST
LA
Enumeration date
08/15/2014
Last updated
08/15/2014
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