Individual
MRS. MARTHA YVONNE HANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
2000 GERTSNER MEMORIAL DR, LAKE CHARLES, LA 70601-8060
(337) 439-7114
Mailing address
7005 WINDMILL LN, LAKE CHARLES, LA 70605-0535
(337) 474-3050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14455
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1897833
—
LA
Enumeration date
08/17/2010
Last updated
08/17/2010
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