Individual
MS. CORETTA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9250 MANSFIELD RD, SHREVEPORT, LA 71118-3125
(318) 686-6311
Mailing address
2322 DOVE HOLLOW DR, SHREVEPORT, LA 71118-5200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.015512
LA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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