Individual
CASSI CRAST VALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
61121 AIRPORT RD, T-1498, SLIDELL, LA 70460-6838
(985) 643-4207
Mailing address
61121 AIRPORT RD, T-1498, SLIDELL, LA 70460-6838
(985) 643-4207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17391
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17391
PHARMACIST
LA
Enumeration date
07/11/2011
Last updated
07/11/2011
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