Individual
SYDNEY WADE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 WASHINGTON ST, FRANKLINTON, LA 70438-6900
(985) 839-5450
Mailing address
821 TAMPA ST, BOGALUSA, LA 70427-2943
(985) 750-9975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024521
LA
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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