Individual
MRS. KIMBERLY PANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
29148 S MONTPELIER RD, ALBANY, LA 70711-4320
(225) 567-1921
(225) 567-1931
Mailing address
30566 PERCY WASCOM LN, DENHAM SPRINGS, LA 70726-1742
(225) 955-6114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016052
LA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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