Individual
DR. MELODEE BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(318) 869-3453
Mailing address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(183) 869-3453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019850
LA
Other
Enumeration date
10/03/2012
Last updated
10/31/2023
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