Individual
STACI GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
366 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5602
(337) 855-1341
Mailing address
1401 WAVERLY ST, LAKE CHARLES, LA 70605-6139
(337) 526-2077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021891
LA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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