Individual
MRS. BRANDY FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
704 N PARKERSON AVE, CROWLEY, LA 70526-4355
(337) 783-9084
(337) 783-9085
Mailing address
704 N PARKERSON AVE, CROWLEY, LA 70526-4355
(337) 783-9084
(337) 783-9085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16773
LA
183500000X
Pharmacist
PD10723
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16773
LA BOARD OF PHARMACY
LA
05
—
1895814
—
LA
Enumeration date
09/21/2010
Last updated
09/21/2010
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