Individual
KENTISHA N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 MANHATTAN BLVD, HARVEY, LA 70058-5112
(504) 366-5711
Mailing address
3265 MANHATTAN BLVD, HARVEY, LA 70058-5112
(504) 366-5711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025141
LA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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