Individual
SHELLEY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1201 NORTH SERVICE ROAD EAST, WAL-MART PHARMACY, RUSTON, LA 71270
(318) 251-0392
Mailing address
189 FIVE OAKS, CHOUDRANT, LA 71227-5001
(318) 768-7688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017374
LA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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