Individual
GAINES KYNA RAMIREZ GANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1516 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 833-2337
Mailing address
6425 WILLOUGHBY CIR, LAKE WORTH, FL 33463-9311
(561) 319-8466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022528
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.022528
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
07/27/2018
Last updated
07/27/2018
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