Individual
TAILOR ILISE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2010 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5206
(337) 990-4902
Mailing address
168 ALLEN MARCANTEL RD, KINDER, LA 70648-5438
(337) 496-5451
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PST.022506
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA.003770
LOUISIANA BOARD OF PHARMACY
LA
01
—
PST.022506
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
08/27/2018
Last updated
08/27/2018
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