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Individual

MRS. SHELLY SORTINA KIRKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1891 BARATARIA BLVD, MARRERO, LA 70072-4203
(504) 340-2211
(504) 340-0057
Mailing address
1504 AVENUE G, MARRERO, LA 70072-3756
(504) 348-2887
(504) 348-2887

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16979
LA

Other

Enumeration date
08/16/2010
Last updated
08/16/2010
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