Individual
DR. DESTINY DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2640 WAGGONER AVE, SHREVEPORT, LA 71108-3859
(318) 631-2065
Mailing address
1535 RIVER PARKWAY BLVD APT 910, SHREVEPORT, LA 71104-1821
(318) 355-0331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024575
LA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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