Organization
MISS-LOU INFUSION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG GUILLORY (PRESIDENT)
(318) 336-4444
Entity
Organization
Contact information
Practice address
1643 CARTER STREET, SUITE 1, VIDALIA, LA 71373
(318) 336-4444
(318) 336-4411
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(318) 336-4444
(318) 336-4411
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
10/21/2011
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