Individual
CAITLIN HIGGINS COMARDELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8601 JEFFERSON HWY, RIVER RIDGE, LA 70123-3510
(504) 738-5785
Mailing address
8601 JEFFERSON HWY, RIVER RIDGE, LA 70123-3510
(504) 738-5785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHI-017049
GA
183500000X
Pharmacist
Primary
PST.022281
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.022281
LOUISIANA PHARMACIST LICENSE
LA
01
—
RPH029921
GEORGIA PHARMACIST LICENSE
GA
Enumeration date
04/16/2018
Last updated
02/10/2020
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