Individual
ALI HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 S MACARTHUR DR, ALEXANDRIA, LA 71301-3052
(318) 442-5364
Mailing address
5834 HANNAH DR, ALEXANDRIA, LA 71303-3958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019660
LA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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