Individual
MAYRA MARIE CUCULLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4572 HIGHWAY 1, RACELAND, LA 70394-2772
(985) 537-3296
Mailing address
1606 WEYER ST, GRETNA, LA 70053-6412
(504) 362-0819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MA.002027
LA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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