Individual
JOHNITIE T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4103 PECANLAND MALL DR, MONROE, LA 71203-7009
(318) 388-3274
Mailing address
127 LEISURE DR, MONROE, LA 71203-2807
(503) 360-4305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024546
LA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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