Individual
MELANIE HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 221-0691
Mailing address
1849 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 221-0691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15032
LA
Other
Enumeration date
09/13/2013
Last updated
12/10/2013
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