Individual
ALEXIS PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 GLENWOOD DR, WEST MONROE, LA 71291-5501
(318) 325-8346
Mailing address
106 SHAWNEE CIR, WEST MONROE, LA 71291-7048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024558
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024558
—
LA
Enumeration date
09/27/2022
Last updated
09/27/2022
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