Individual
MRS. MINA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2958 PERKINS RD, BATON ROUGE, LA 70808
(225) 343-4869
(225) 343-4819
Mailing address
19223 GREEN HERON DR, BATON ROUGE, LA 70817-3972
(225) 324-3358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13452
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261025
—
LA
Enumeration date
06/14/2016
Last updated
06/14/2016
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