Individual
DR. ERICA SULLIVAN DITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2123 FORSYTHE AVE, MONROE, LA 71201-3610
(318) 398-2100
(318) 387-7682
Mailing address
2123 FORSYTHE AVE, MONROE, LA 71201-3610
(318) 398-2100
(318) 387-7682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017373
LA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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