Individual
JAMES CARROLL BRUCE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7004 YOUREE DR, SHREVEPORT, LA 71105-5109
(318) 747-3665
Mailing address
PO BOX 194, BELCHER, LA 71004-0194
(318) 458-6433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011857
LA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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