Individual
DEDRIA BRASHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
500 ALEXANDER ST, JONESBORO, LA 71251-2002
(318) 259-7334
(318) 259-3013
Mailing address
500 ALEXANDER ST, JONESBORO, LA 71251-2002
(318) 259-7334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16200
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810509
—
LA
Enumeration date
02/10/2010
Last updated
02/10/2010
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