Individual
CHARLENE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 TUNICA DR E, MARKSVILLE, LA 71351-3006
(318) 253-6519
Mailing address
120 TUNICA DR E, MARKSVILLE, LA 71351-3006
(318) 288-6464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011215
LA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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