Individual
MS. KIM VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
407 BIENVILLE ST, NATCHITOCHES, LA 71457-5702
(877) 646-1716
(318) 214-4190
Mailing address
407 BIENVILLE ST, NATCHITOCHES, LA 71457-5702
(877) 646-1716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015475
LA
Other
Enumeration date
02/28/2018
Last updated
07/10/2019
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