Individual
MARY CATHERINE COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
405 LAKE ST, LAKE PROVIDENCE, LA 71254-2631
(318) 559-2400
(318) 559-3468
Mailing address
405 LAKE ST, LAKE PROVIDENCE, LA 71254-2631
(318) 559-2400
(318) 559-3468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014647
LA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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