Individual
EDCHARRA G CAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PST
Contact information
Practice address
195 N CANAL BLVD, THIBODAUX, LA 70301-2995
(985) 447-2456
Mailing address
921 CAMERON ISLES CT, HOUMA, LA 70360-5419
(225) 955-8690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022785
LA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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