Individual
MIMI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4810 LAPALCO BLVD, MARRERO, LA 70072-4382
(504) 341-1363
Mailing address
4810 LAPALCO BLVD, MARRERO, LA 70072-4382
(504) 341-1363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019319
LA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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