Individual
MRS. KELLEY BURT GRAPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
(318) 539-3199
Mailing address
235 AVERA ST, PO BOX 159, SAREPTA, LA 71071-2566
(318) 453-0617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015723
LA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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