Individual
MANDY BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
100 EDGEWOOD DR, PINEVILLE, LA 71360-5441
(318) 473-4524
Mailing address
1533 HIGHWAY 1, MARKSVILLE, LA 71351-4351
(318) 792-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17938
LA
Other
Enumeration date
08/18/2010
Last updated
06/05/2016
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