Individual
MRS. NICOLE K SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
12589 AIRLINE HWY, DESTREHAN, LA 70047-2501
(985) 764-1158
Mailing address
315 S FASHION BLVD, HAHNVILLE, LA 70057-2004
(985) 308-0792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017430
LA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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