Individual
AMANDA JORDAN BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1717 OAK PARK BLVD, LAKE CHARLES, LA 70601-8991
(337) 494-2990
Mailing address
1717 OAK PARK BLVD, LAKE CHARLES, LA 70601-8991
(337) 494-2990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020899
LA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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