Individual
OLIVIA DUMESTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 BUSINESS 190, COVINGTON, LA 70433-3278
(985) 893-7476
Mailing address
1203 BUSINESS 190, COVINGTON, LA 70433-3278
(985) 893-7476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023679
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4219147
—
LA
Enumeration date
11/23/2020
Last updated
11/23/2020
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