Individual
INGA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 LA HIGHWAY 1 S, PORT ALLEN, LA 70767-5858
(225) 749-7454
Mailing address
3255 LA HIGHWAY 1 S, PORT ALLEN, LA 70767-5858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018530
LA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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