Individual
SAMMY PAUL REDDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
407 BIENVILLE ST, NATCHITOCHES, LA 71457-5702
(318) 352-3141
Mailing address
1070 W ALABAMA AVE, MANY, LA 71449-3180
(337) 513-5671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19803
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
06/21/2013
Last updated
06/21/2013
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