Individual
ANITA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5206
(337) 990-4901
Mailing address
5351 E CRESTVIEW DR, LAKE CHARLES, LA 70605-5278
(337) 540-2624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
64145
TX
183500000X
Pharmacist
Primary
PST.022645
LA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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