Individual
MASON R MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
29881 WALKER RD S, WALKER, LA 70785-7909
(225) 665-4580
(225) 665-4560
Mailing address
29881 WALKER RD S, WALKER, LA 70785-7909
(225) 665-4580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47708
LA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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