Individual
EMILY HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1125 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2404
(318) 861-9212
(318) 861-9236
Mailing address
1125 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2404
(318) 861-9212
(318) 861-9236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19598
LA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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