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Individual

AMANDA GAIL LARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
7110 YOUREE DR, SHREVEPORT, LA 71105-5107
(318) 798-7860
Mailing address
5917 STOCKWOOD ST, BOSSIER CITY, LA 71111-5630
(318) 780-1266

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18258
LA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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