Individual
DR. DAN NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3423 CYPRESS ST, WEST MONROE, LA 71291-7309
(318) 322-2994
Mailing address
3423 CYPRESS ST, WEST MONROE, LA 71291-7309
(318) 322-2994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19869
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19869
STATE LICENSE NUMBER
LA
Enumeration date
09/24/2014
Last updated
09/24/2014
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