Individual
MS. TRACIE LYNN MONTOUCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
812 VETERANS DR, CARENCRO, LA 70520-3701
(337) 896-2217
Mailing address
101 LANDSDOWNE WAY, CARENCRO, LA 70520-6251
(337) 278-2181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019471
LA
Other
Enumeration date
11/04/2011
Last updated
09/16/2014
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