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Individual

STACEY WIGGINS-MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7968 ESSEN PARK AVE, BATON ROUGE, LA 70809-7439
(225) 761-3400
Mailing address
40441 CHAMPAGNE AVE, PRAIRIEVILLE, LA 70769-5857

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS37120
FL

Other

Enumeration date
01/28/2018
Last updated
01/28/2018
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