Individual
CHRISTY MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 N MALL DR, ALEXANDRIA, LA 71301-3619
(318) 445-2300
Mailing address
163 DICKEY ST, FORT POLK, LA 71459-3546
(443) 355-9111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00830
LA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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