Individual
DR. KENNETH MICHAEL PARKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891
Mailing address
3215 KNIGHT ST, APT 307, SHREVEPORT, LA 71105-2707
(504) 460-8288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020218
LA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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