Individual
MADELINE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3731 INWOOD DR, LAKE CHARLES, LA 70605-6770
(337) 377-9638
Mailing address
3731 INWOOD DR, LAKE CHARLES, LA 70605-6770
(337) 377-9638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021729
LA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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