Individual
SAM P CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2107 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 742-5590
(318) 742-8457
Mailing address
8348 BROOKINGTON DR, SHREVEPORT, LA 71107-8605
(318) 422-4663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10700
LA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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