Individual
MRS. JUDY VOGT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
114 LOUISIANA AVE, FERRIDAY, LA 71334-2826
(318) 757-3811
(318) 757-4106
Mailing address
1205 CONCORDIA AVE, VIDALIA, LA 71373-2679
(318) 336-8999
(318) 757-4106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10208
LA
183500000X
Pharmacist
R-05857
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261289
—
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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