Individual
MAGED NOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
122 MIZELL LN, WEST MONROE, LA 71291-9020
(318) 680-1711
Mailing address
122 MIZELL LN, WEST MONROE, LA 71291-9020
(318) 680-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022860
LA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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