Individual
BREANNA N COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4001 CANAL ST, NEW ORLEANS, LA 70119-6020
(504) 483-2486
Mailing address
1680 FILMORE AVE, NEW ORLEANS, LA 70122-2661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023122
LA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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