Individual
MICHAEL DOUGLAS MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
Mailing address
7907 DON DAVID DR, SHREVEPORT, LA 71129-4652
(318) 207-1034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14242
LA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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