Individual
MR. STEPHEN MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
761 PIERREMONT RD, SHREVEPORT, LA 71106-2211
(318) 861-3311
Mailing address
2504 BELLEVUE RD, HAUGHTON, LA 71037-8358
(318) 949-0415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10800
LA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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