Individual
DAKOTA RYAN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 E TEXAS ST, BOSSIER CITY, LA 71111-3207
(318) 742-7207
Mailing address
1108 CLOVERDALE DR, SHREVEPORT, LA 71118-3247
(318) 771-1856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023558
LA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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