Individual
MINH DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8528 LINE AVE, SHREVEPORT, LA 71106-6144
(318) 869-0669
(318) 869-0671
Mailing address
8528 LINE AVE, SHREVEPORT, LA 71106-6144
(318) 869-0669
(318) 869-0671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16214
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263192
—
LA
Enumeration date
07/16/2012
Last updated
07/16/2012
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