Individual
MS. MICHELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.P
Contact information
Practice address
320 LAYMAN ST, AVONDALE, LA 70094-2562
(504) 437-0632
Mailing address
320 LAYMAN ST, AVONDALE, LA 70094-2562
(504) 437-0632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16120
PHARMACY
LA
Enumeration date
04/16/2007
Last updated
07/08/2007
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