Individual
TIEN NIEM BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PST.018840 (PHARM.D)
Contact information
Practice address
401 ONTARIO AVE, PHARMACY DEPARMENT, BOGALUSA, LA 70427-2610
(985) 732-7677
(985) 732-7677
Mailing address
401 ONTARIO AVE, PHARMACY DEPARMENT, BOGALUSA, LA 70427-2610
(985) 732-7677
(985) 732-7677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.018840
LA
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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