Individual
ELIZABETH MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 12TH ST, LAKE CHARLES, LA 70601-6128
(337) 436-2508
Mailing address
600 12TH ST, LAKE CHARLES, LA 70601-6128
(337) 436-2508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021059
LA
183500000X
Pharmacist
45375
TX
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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