Individual
MRS. PAULA MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2017 E MADISON AVE, BASTROP, LA 71220-4070
(318) 281-6646
(318) 281-1336
Mailing address
2017 E MADISON AVE, BASTROP, LA 71220-4070
(318) 281-6646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16033
LA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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