Individual
MISS AVA ROCHELLE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
539 E. PRUDHOMME ST. FL 1, OPELOUSAS, LA 70570-6499
(337) 943-7102
(337) 948-0950
Mailing address
2411 ROBLEY DRIVE, LAFAYETTE, LA 70503
(337) 522-3420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023670
LA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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