Individual
MARY PENOT HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12125 HIGHWAY 90, LULING, LA 70070-3000
(985) 785-9054
(985) 785-8772
Mailing address
31 E WOODLAWN DR, DESTREHAN, LA 70047-2537
(985) 307-0943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10904
LA
Other
Enumeration date
08/29/2006
Last updated
09/11/2008
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