Individual
HOLLY BEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2636 RYAN ST, LAKE CHARLES, LA 70601-7326
(337) 433-4178
Mailing address
1021 BEGLIS PKWY, SULPHUR, LA 70663-5601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024564
LA
Other
Enumeration date
09/23/2022
Last updated
01/04/2023
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