Individual
CHRISTALLE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
501 WEST HWY 90, IOWA, LA 70647
(337) 582-4043
Mailing address
13382 POUSSON RD, IOWA, LA 70647-6524
(337) 391-1314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17800
LA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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