Individual
HILLIARD MIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4858 HIGHWAY 1, RACELAND, LA 70394-2627
(985) 532-5527
Mailing address
4858 HIGHWAY 1, RACELAND, LA 70394-2627
(985) 532-5527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10570
LA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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