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Individual

BREANNA BROOKE NEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
115 W MCNEESE ST, LAKE CHARLES, LA 70605-5635
(337) 474-4131
Mailing address
1125 HIDDEN OAK LN, HOME ADDRESS, LAKE CHARLES, LA 70605-7123
(337) 656-2578

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.018488
LA

Other

Enumeration date
04/18/2011
Last updated
04/18/2011
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