Individual
ANDREA DANIEL BAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9960 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6457
(225) 768-1941
(225) 768-7937
Mailing address
10828 PINEBROOK AVE, BATON ROUGE, LA 70809-4057
(225) 295-3551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14650
LA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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