Individual
ANDREA SPRUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 HIGHWAY 132, MANGHAM, LA 71259-5268
(318) 248-3338
Mailing address
252 HIGHWAY 132, MANGHAM, LA 71259-5268
(318) 248-3338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18243
LA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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