Individual
STEPHANIE LYNN RENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
325 MAISON BELLE DR APT 6, DERIDDER, LA 70634-2102
(208) 860-8950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6302
ID
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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