Individual
PHANID ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582
Mailing address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022116
LA
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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