Individual
KRYSTAL KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 CHURCH ST, PLAQUEMINE, LA 70764-4116
(225) 687-6816
Mailing address
33680 BOUDREAUX ST, WHITE CASTLE, LA 70788-2728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
.021356
LA
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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