Individual
AMBER GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
(337) 474-0434
Mailing address
4907 COUNTRY CLUB CT, LAKE CHARLES, LA 70605-6701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023083
LA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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