Individual
KERI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1629 CRESWELL LN EXT, OPELOUSAS, LA 70570-7815
(337) 942-9720
(337) 948-3094
Mailing address
1629 CRESWELL LN EXT, OPELOUSAS, LA 70570-7815
(337) 942-9720
(337) 948-3094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17218
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17218
PHARMACIST LICENSE NUMBER
LA
Enumeration date
08/14/2014
Last updated
08/14/2014
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