Individual
ALICIA MARIONNEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 HOSPITAL RD, NEW ROADS, LA 70760-2619
(225) 638-6321
Mailing address
7015 FLEUR DE LIS, ZACHARY, LA 70791-3264
(225) 975-7204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017261
LA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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