Individual
DR. TANECIA MARIE AUGUILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM,D.
Contact information
Practice address
1238 SAINT CHARLES ST, HOUMA, LA 70360-2745
(985) 873-3613
Mailing address
171 TURNBERRY DR, NEW ORLEANS, LA 70128-3629
(504) 912-1148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019654
LA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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