Individual
LILIAN IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
929 S PINE ST, VIVIAN, LA 71082-3364
(318) 375-4510
Mailing address
929 S PINE ST, VIVIAN, LA 71082-3364
(318) 375-4510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44770
TX
183500000X
Pharmacist
Primary
PST.019352
LA
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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