Individual
ROSAMAEND ILIZABETH KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3925 HIGHWAY 190 W, HAMMOND, LA 70401-4981
(985) 549-6886
(985) 549-6857
Mailing address
52 PINE SQUARE, HAMMOND, LA 70401
(985) 419-9767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15205
LA
183500000X
Pharmacist
T-09853
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15205
PHARMACIST LICENSE NUMBER
LA
01
—
T-09853
PHARMACIST LICENSE NUMBER
MS
Enumeration date
09/06/2006
Last updated
07/08/2007
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