Individual
KAYLIN THEVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
120 PARK CENTER DR, BROUSSARD, LA 70518-3605
(337) 330-2589
(337) 252-1100
Mailing address
120 PARK CENTER DR, BROUSSARD, LA 70518-3605
(337) 330-2589
(337) 252-1100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021691
LA
Other
Enumeration date
08/31/2016
Last updated
04/01/2021
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