Individual
KELLIE GEOFFROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14241 COURSEY BLVD, BATON ROUGE, LA 70817-1368
(225) 752-7949
Mailing address
14241 COURSEY BLVD, BATON ROUGE, LA 70817-1368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020693
LA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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