Individual
MARCKEL LYNETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 GRAND RUE DE JOSH, OPELOUSAS, LA 70570-4786
(985) 991-6021
Mailing address
185 GRAND RUE DE JOSH, OPELOUSAS, LA 70570-4786
(985) 991-6021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024012
LA
390200000X
Student in an Organized Health Care Education/Training Program
S12390
AL
Other
Enumeration date
01/17/2019
Last updated
09/09/2021
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