Individual
MS. KANISHA KANTRELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
712 WESTBANK EXPY, WESTWEGO, LA 70094-4400
(504) 340-1110
(504) 340-5188
Mailing address
80 MOSS DR, LA PLACE, LA 70068-6452
(985) 652-8972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17012
LA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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