Individual
MRS. ANITA GAIL HUCKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALEXANDER ST, JONESBORO, LA 71251-2002
(318) 259-7334
(318) 259-3013
Mailing address
500 ALEXANDER ST, JONESBORO, LA 71251-2002
(318) 259-7334
(318) 259-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810495
—
LA
Enumeration date
01/29/2010
Last updated
01/29/2010
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