Individual
MARY HALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
352 HOSPITAL BLVD, PINEVILLE, LA 71360
(318) 473-6257
Mailing address
2509 VANCE AVE, ALEXANDRIA, LA 71301-4645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11575
LA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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