Individual
CREEK BAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
42242 VETERANS AVE, HAMMOND, LA 70403-1423
(985) 542-7230
Mailing address
27428 DEBORAH DR, PONCHATOULA, LA 70454-8124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025921
LA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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