Individual
ASHLEY BRODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1540 N MARKET ST, SHREVEPORT, LA 71107-6528
(225) 252-2624
(318) 424-1429
Mailing address
1540 N MARKET ST, SHREVEPORT, LA 71107-6528
(225) 252-2624
(318) 424-1429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19435
LA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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