Individual
MITCHELL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E NAPOLEON ST, SULPHUR, LA 70663-3654
(337) 626-9209
Mailing address
5823 WILLOW BREEZES DR, LAKE CHARLES, LA 70605-3144
(337) 499-4563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15888
LA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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