Individual
EVA GHAEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6091 MER ROUGE RD, BASTROP, LA 71220-6709
(318) 281-3564
(318) 283-6058
Mailing address
6091 MER ROUGE RD, BASTROP, LA 71220-6709
(318) 281-3564
(318) 283-6058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019461
LA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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