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Individual

MRS. ASHLEY ACOSTA CHANOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM. D

Contact information

Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-3383
Mailing address
2880 HIGHWAY 190, MANDEVILLE, LA 70471-3254
(985) 624-8548

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019497
LA
183500000X
Pharmacist
045533
LA

Other

Enumeration date
08/07/2011
Last updated
04/06/2022
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