Individual
MELISSA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W 21ST AVE, COVINGTON, LA 70433-3015
(985) 893-0700
Mailing address
627 W 21ST AVE, COVINGTON, LA 70433-3015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018250
LA
183500000X
Pharmacist
P11951
MS
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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