Individual
MARY CLARE KLUMPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
(337) 474-0434
Mailing address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
69415
TX
183500000X
Pharmacist
Primary
PST.024010
LA
Other
Enumeration date
08/16/2021
Last updated
09/11/2021
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