Individual
THERESA S MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2152 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-8327
(225) 272-5370
(225) 274-9391
Mailing address
18095 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4803
(225) 937-2654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019452
LA
Other
Enumeration date
05/09/2011
Last updated
03/02/2022
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