Individual
TIFFANY BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 N MALL DR, ALEXANDRIA, LA 71301-3619
(318) 445-2300
Mailing address
2050 N MALL DR, ALEXANDRIA, LA 71301-3619
(318) 445-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021751
LA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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