Individual
MR. JOHNNY LETLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
534 WEBB HILL RD, OAK RIDGE, LA 71264-3033
(318) 512-6382
Mailing address
534 WEBB HILL RD, OAK RIDGE, LA 71264
(318) 512-6382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10748
AR
183500000X
Pharmacist
Primary
9774
LA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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