Individual
KELSEY TOMB CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1701 CHARTER ST, JACKSON, LA 70748-5927
(225) 634-2470
Mailing address
PO BOX 299, JACKSON, LA 70748-0299
(225) 719-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022564
LA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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