Individual
MIA MONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
211 VILLERE DR, DESTREHAN, LA 70047-2511
(504) 703-5253
Mailing address
211 VILLERE DR, DESTREHAN, LA 70047-2511
(504) 703-5253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019808
LA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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