Individual
MICHAEL THOMAS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Mailing address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16447
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233706
—
LA
Enumeration date
08/16/2010
Last updated
08/16/2010
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