Individual
PEGGY G. VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1209 N 18TH ST, MONROE, LA 71201-5429
(318) 323-2242
(318) 323-2298
Mailing address
2824 PRAIRIE RD, MONROE, LA 71202-8189
(318) 322-0875
(318) 323-2298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10347
LA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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