Individual
ELIZABETH MARIE REILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N CANAL BLVD, THIBODAUX, LA 70301-2910
(985) 446-5646
Mailing address
218 JEAN ELLEN AVE, HOUMA, LA 70363-5440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023909
LA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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