Individual
LORI BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 FRONT ST STE D, WINNSBORO, LA 71295-6406
(318) 435-9681
Mailing address
3326 FRONT ST STE D, WINNSBORO, LA 71295-6406
(318) 435-9681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16417
LA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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