Individual
CAROLYN B YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1125 HIGHWAY 80, HAUGHTON, LA 71037-9430
(318) 949-8476
Mailing address
1125 HIGHWAY 80, HAUGHTON, LA 71037-9430
(318) 949-8476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17145
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17145
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
08/15/2012
Last updated
08/15/2012
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