Individual
MRS. SELENA SULLIVAN PREAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4070 STERLINGTON RD, MONROE, LA 71203-2536
(318) 343-3390
Mailing address
4070 STERLINGTON RD, MONROE, LA 71203-2536
(318) 343-3390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.017149
LA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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