Individual
CECELIA VERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4612
(318) 798-4615
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4612
(318) 798-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PIC.023198
LA
183500000X
Pharmacist
PST.023198
LA
Other
Enumeration date
09/04/2019
Last updated
08/27/2025
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