Individual
DR. TERRI LEE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9643B JEFFERSON HWY, RIVER RIDGE, LA 70123-2509
(504) 737-6242
(504) 737-7419
Mailing address
9643B JEFFERSON HWY, RIVER RIDGE, LA 70123-2509
(504) 737-6242
(504) 737-7419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11828
LA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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