Individual
STEVEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W CALIFORNIA AVE, RUSTON, LA 71270-5013
(318) 513-1260
(318) 513-1266
Mailing address
105 W CALIFORNIA AVE, RUSTON, LA 71270-5013
(318) 513-1260
(318) 513-1266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020603
LA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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