Individual
THERESA PATE BUILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-8327
(225) 272-5370
Mailing address
223 CLARA DR, BATON ROUGE, LA 70808-4716
(225) 266-1191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17181
LA
Other
Enumeration date
04/20/2011
Last updated
03/24/2022
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