Individual
LATONYA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
412 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8127
(318) 840-0477
Mailing address
412 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8127
(318) 840-0477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024987
LA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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