Individual
NICOLE ARCILLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5547
Mailing address
3302 DUNMORE PL, BOSSIER CITY, LA 71112-3174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47845
TX
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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