Individual
LADADRIEL EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Mailing address
13500 HIGHWAY 90, 216 BAILEY ST, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19906
LA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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