Individual
MARILYN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1305 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 641-2550
Mailing address
10501 CURRAN BLVD APT 13D, NEW ORLEANS, LA 70127-5153
(786) 302-7516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS.021786
LA
183500000X
Pharmacist
PS53479
FL
Other
Enumeration date
01/01/2017
Last updated
01/01/2017
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