Individual
TRUC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5624
Mailing address
276 POMEROY DR, SHREVEPORT, LA 71115-2612
(318) 797-3887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020850
LA
Other
Enumeration date
11/26/2014
Last updated
09/22/2023
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