Individual
AUDREY J BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
Mailing address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019971
LA
Other
Enumeration date
12/31/2012
Last updated
01/07/2014
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