Individual
CHLOE S MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FLORIDA ST, MANDEVILLE, LA 70448-5234
(985) 951-7282
Mailing address
30399 SAINT JOHN DR, LACOMBE, LA 70445-2859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022575
LA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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