Individual
MRS. MOMI CORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1919 MAIN ST, FRANKLINTON, LA 70438-3689
(985) 839-4486
Mailing address
78553 FAUCHEAUX RD, FOLSOM, LA 70437-3307
(985) 796-8799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14669
LA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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