Individual
LADONNA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
20050 CRESTWOOD BLVD, COVINGTON, LA 70433-5207
(985) 875-7525
Mailing address
525 SERENITY LN, MADISONVILLE, LA 70447-3005
(662) 832-1044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12602
MS
Other
Enumeration date
04/12/2013
Last updated
07/18/2023
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