Individual
FRANK JAMES LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
257 WOODLAND PARK RD, STONEWALL, LA 71078-9103
(318) 617-5791
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT.009733
LA
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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