Individual
MOSAB SHALBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
(337) 292-6610
Mailing address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST023202
LA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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