Individual
THOMAS MICHAEL MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PST.023938
Contact information
Practice address
1930 E MADISON AVE, BASTROP, LA 71220-4034
(318) 281-7410
Mailing address
104 W NELSON RD, MONROE, LA 71203-9534
(318) 737-6771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023938
LA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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