Individual
ELISE CEDRICE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1203 WESTBANK EXPY, WESTWEGO, LA 70094-4755
(504) 371-1061
(504) 371-1062
Mailing address
1203 WESTBANK EXPY, WESTWEGO, LA 70094-4755
(504) 371-1061
(504) 371-1062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021783
LA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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