Individual
TRISTA LEBEOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
144 W 134TH PL, CUT OFF, LA 70345-4128
(985) 325-9750
Mailing address
40494 FOX RUN DR, GONZALES, LA 70737-0712
(985) 291-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022146
LA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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