Individual
TAMMY UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1238 SAINT CHARLES ST, HOUMA, LA 70360-2745
(985) 873-3613
(985) 873-7935
Mailing address
1238 SAINT CHARLES ST, HOUMA, LA 70360-2745
(985) 873-3613
(985) 873-7935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14422
LA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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