Individual
TARA CULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
678 TERRY PKWY, TERRYTOWN, LA 70056
(504) 366-1535
(504) 366-9280
Mailing address
678 TERRY PKWY, TERRYTOWN, LA 70056-4306
(504) 366-1535
(504) 366-9280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16595
LA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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