Individual
LOIS ROSE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5663
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13792
LA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13792
LA
1835P2201X
Ambulatory Care Pharmacist
13792
LA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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