Individual
MR. LARRY LEON CHRETIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
510 KINGS HWY, SHREVEPORT, LA 71104-4444
(318) 424-0896
(318) 424-0897
Mailing address
510 KINGS HWY, SHREVEPORT, LA 71104-4444
(318) 424-0896
(318) 424-0897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16288
LA
Other
Enumeration date
09/15/2008
Last updated
09/17/2008
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