Individual
MISS MALLORY ALICIA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 DAVID DR, METAIRIE, LA 70003-5118
(504) 729-6979
(504) 729-6990
Mailing address
101 DAVID DR, METAIRIE, LA 70003-5118
(504) 729-6979
(504) 729-6990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021134
LA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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