Individual
TRI QUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019030
LA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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