Individual
LISA E SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
Mailing address
1824 MILES DR, LONGVIEW, TX 75605-2492
(903) 746-5202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43922
TX
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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