Individual
THU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 867-8701
Mailing address
880H N HIGHWAY 190, COVINGTON, LA 70433-5147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022633
LA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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