Individual
DR. MARK POUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2800 N HIGHWAY 190, COVINGTON, LA 70433-9049
(985) 327-6315
Mailing address
2800 N HIGHWAY 190, COVINGTON, LA 70433-9049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020207
LA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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