Individual
STACY L RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
815 BRASHEAR AVE, MORGAN CITY, LA 70380-1923
(985) 384-3302
Mailing address
151 CRANE LN, THIBODAUX, LA 70301-7710
(985) 852-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16293
AL
183500000X
Pharmacist
Primary
18860
LA
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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