Individual
MRS. BRANDI HODGE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 E MADISON AVE, BASTROP, LA 71220-4034
(318) 281-7410
Mailing address
1930 E MADISON AVE, BASTROP, LA 71220-4034
(318) 281-7410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17637
LA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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