Individual
NANCY ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
505 BERTRAND DR, LAFAYETTE, LA 70506-5542
(337) 893-9274
Mailing address
113 SOHO CIR, LAFAYETTE, LA 70508-4237
(337) 303-6103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14796
LA
Other
Enumeration date
10/06/2020
Last updated
07/25/2023
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