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Individual

MRS. LEE A SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
510 E STONER AVE, OBVAMC CO-AG CLINIC, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6002
Mailing address
510 E STONER AVE, OBVAMC CO-AG CLINIC, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13601
LA

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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