Individual
MEGAN HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582
Mailing address
9155 MANSFIELD RD, SHREVEPORT, LA 71118-3122
(318) 688-2582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020677
LA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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