Individual
DEOSHA RYSHEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6515 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3110
(225) 261-5497
Mailing address
4312 MARSHALL ST, ZACHARY, LA 70791-3824
(225) 301-4117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024601
LA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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