Individual
CARRIE STEARNS FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1106 N MARTIN LUTHER KING HWY, LAKE CHARLES, LA 70601-2048
(337) 436-7833
Mailing address
1106 N MARTIN LUTHER KING HWY, LAKE CHARLES, LA 70601-2048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18545
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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