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Individual

ALLISON REEVES GRANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1982 N RAILROAD AVE, ARCADIA, LA 71001-3422
(318) 263-2919
(318) 263-9819
Mailing address
1982 N RAILROAD AVE, ARCADIA, LA 71001-3422
(318) 263-2919

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.017736
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PST.017736
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
01/07/2021
Last updated
01/07/2021
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