Individual
MR. RANDY MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
139 CENTRAL AVE, RESERVE, LA 70084-6001
(985) 536-3957
(985) 536-2231
Mailing address
139 CENTRAL AVE, RESERVE, LA 70084-6001
(985) 536-3957
(985) 536-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18305
LA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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